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General NPI Number Information
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NPI Number | 1952777435
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Entity Type | Individual
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Provider Name | ANA M SNYDER L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 5842 W MYRTLE AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-1875
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Country | US
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Telephone | 602-799-3336
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Fax | 602-589-6212
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Provider Business Mailing Address
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Address Line | 3820 W EL CAMINO DR
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City | PHOENIX
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State | AZ
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Zip | 85051-9124
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Country | US
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Telephone | 602-799-3336
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Fax | 602-589-6212
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-00526P
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License Number State | AZ
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