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General NPI Number Information
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NPI Number | 1912079864
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Entity Type | Individual
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Provider Name | PAUL NORMAN SNIDER MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 27965 ROBLE BLANCO
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022
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Country | US
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Telephone | 650-941-0223
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Fax | 650-948-4641
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Provider Business Mailing Address
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Address Line | 27965 ROBLE BLANCO DR
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-2413
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Country | US
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Telephone | 650-941-0223
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Fax | 650-948-4641
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G24560
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License Number State | CA
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