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General NPI Number Information
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NPI Number | 1821275769
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Entity Type | Organization
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Legal Business Name | SNAPPER HEALTHCARE CLINIC, PLLC
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 11520 N CENTRAL EXPY SUITE 134
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City | DALLAS
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State | TX
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Zip | 75243-6605
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Country | US
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Telephone | 972-504-6282
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Fax | 214-988-9018
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Provider Business Mailing Address
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Address Line | 11520 N CENTRAL EXPY SUITE 134
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City | DALLAS
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State | TX
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Zip | 75243-6605
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Country | US
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Telephone | 972-504-6282
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Fax | 214-988-9018
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Authorized Official
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Title or Position | CEO
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Name | DR. DARREN HOWLAND
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Credential | D.C.
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Telephone | 972-504-6282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 9672
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License Number State | TX
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