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General NPI Number Information
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NPI Number | 1922198308
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Entity Type | Individual
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Provider Name | STEPHEN LAWRENCE SNIDER PHARM. D
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12254 BELLFLOWER BLVD
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City | DOWNEY
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State | CA
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Zip | 90242-2804
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Country | US
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Telephone | 562-658-3738
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Fax | 562-658-3846
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Provider Business Mailing Address
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Address Line | 2617 RUHLAND AVE #18
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2661
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Country | US
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Telephone | 310-370-7395
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24710
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License Number State | CA
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