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General NPI Number Information
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NPI Number | 1922278852
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Entity Type | Individual
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Provider Name | THOMAS LEE SNEAD II M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 835 SWEITZER ST EMERGENCY DEPARTMENT
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City | GREENVILLE
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State | OH
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Zip | 45331-1007
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Country | US
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Telephone | 937-547-5757
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Fax | 937-547-5790
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Provider Business Mailing Address
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Address Line | 332 CONGRESS PARK DR
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City | DAYTON
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State | OH
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Zip | 45459-4133
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Country | US
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Telephone | 937-312-3627
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Fax | 937-312-3654
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301090897
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.092353
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01065803A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 52437-020
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License Number State | WI
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