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General NPI Number Information
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NPI Number | 1023533379
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Entity Type | Organization
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Legal Business Name | SYNERGY AUTHORIZATION SERVICES
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1815 SHERINGTON PL
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-6055
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Country | US
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Telephone | 949-791-8635
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Fax | 949-861-9944
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Provider Business Mailing Address
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Address Line | 1815 SHERINGTON PL
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-6055
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Country | US
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Telephone | 949-791-8635
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Fax | 949-861-9944
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Authorized Official
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Title or Position | CUSTOMER SERVICE
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Name | CUSTOMER SERVICE
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Credential |
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Telephone | 949-791-8635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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