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General NPI Number Information
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NPI Number | 1871899468
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Entity Type | Individual
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Provider Name | JAIME DARR SNOOK DDS
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 1494C S ARLINGTON ST
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City | AKRON
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State | OH
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Zip | 44306-3832
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Country | US
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Telephone | 330-724-7036
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 WHITESIDE DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-1748
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Country | US
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Telephone | 330-224-9170
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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 | 30-023345
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License Number State | OH
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