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General NPI Number Information
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NPI Number | 1881991917
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Entity Type | Organization
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Legal Business Name | DONNA SNOW M.D. P.C.
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 4622 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10312-4145
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Country | US
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Telephone | 718-967-3762
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Fax | 718-967-8463
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Provider Business Mailing Address
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Address Line | 4622 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10312-4145
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Country | US
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Telephone | 718-967-3762
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Fax | 718-967-8463
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DONNA M SNOW
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Credential | M.D.
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Telephone | 718-967-3762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 174630
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License Number State | NY
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