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General NPI Number Information
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NPI Number | 1013370733
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Entity Type | Organization
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Legal Business Name | SYNERGY MED-SOLUTIONS
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 18618 WEEPING WILLOW LN
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City | PEARLAND
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State | TX
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Zip | 77584-9522
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Country | US
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Telephone | 832-229-8402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1992
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City | ALVIN
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State | TX
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Zip | 77512-1992
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NILESH SHAH
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Credential |
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Telephone | 832-229-8402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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