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General NPI Number Information
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NPI Number | 1982032751
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Entity Type | Organization
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Legal Business Name | KATHRYN A. SNEED, DMD, MBA, PLLC
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 1122 POPLAR VIEW LN N
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City | COLLIERVILLE
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State | TN
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Zip | 38017-9323
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Country | US
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Telephone | 901-853-2575
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Fax | 901-853-2576
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Provider Business Mailing Address
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Address Line | 780 RIDGE LAKE BLVD STE 201B
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City | MEMPHIS
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State | TN
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Zip | 38120-9426
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Country | US
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Telephone | 901-683-7315
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Fax | 901-683-2398
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHRYN A SNEED
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Credential | DMD, MBA
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Telephone | 901-853-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9610
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License Number State | TN
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