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General NPI Number Information
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NPI Number | 1912883489
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Entity Type | Individual
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Provider Name | REBEKAH LYNN SNIDER NP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3800 S NATIONAL AVE STE 400
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5272
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 W BELWOOD CT
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City | NIXA
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State | MO
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Zip | 65714-7485
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Country | US
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Telephone | 636-487-3134
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2025031035
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License Number State | MO
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