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General NPI Number Information
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NPI Number | 1881103307
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Entity Type | Individual
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Provider Name | ROB SNYDER PT
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Gender | Male
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 09/27/2017
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Provider Practice Location Address
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Address Line | 50 PENNY LN
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City | WATSONVILLE
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State | CA
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Zip | 95076-3079
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Country | US
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Telephone | 831-238-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 316 MID VALLEY CTR # 110
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City | CARMEL
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State | CA
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Zip | 93923-8516
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Country | US
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Telephone | 831-238-6700
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT12073
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License Number State | CA
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