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NPI Code Detail

MEDICARE: AMBER K SNYDER RD

MEDICARE:   AMBER K SNYDER  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86050053
2174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1215589189
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER K SNYDER RD
Provider Business Mailing Address
First Line : 3174 EL NINO DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-4330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3174 EL NINO DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-4330
Country : US
Telephone Number : 216-406-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/11/2019

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Directions to “ AMBER K SNYDER RD” Practice Location

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