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General NPI Number Information
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NPI Number | 1003753443
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Entity Type | Organization
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Legal Business Name | SYNERGY INTEGRATED CARE
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 3018 PUTTY HILL AVE
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City | PARKVILLE
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State | MD
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Zip | 21234-4124
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Country | US
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Telephone | 443-337-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 3018 PUTTY HILL AVE
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City | PARKVILLE
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State | MD
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Zip | 21234-4124
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Country | US
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Telephone | 443-337-0986
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Fax |
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | MR. OLANREWAJU ISOLA FATOKI
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Credential |
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Telephone | 443-337-0986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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