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General NPI Number Information
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NPI Number | 1801308150
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Entity Type | Individual
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Provider Name | SNOBER TARIQ DMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 160 ROBBINS ST
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City | WATERBURY
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State | CT
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Zip | 06708-2652
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Country | US
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Telephone | 352-283-4402
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Fax |
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Provider Business Mailing Address
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Address Line | 507 MARLANDWOOD RD APT 735
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City | TEMPLE
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State | TX
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Zip | 76502-0091
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Country | US
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Telephone | 352-283-4402
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901600670
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DL13483
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 13935
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License Number State | CT
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