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General NPI Number Information
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NPI Number | 1033732250
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Entity Type | Organization
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Legal Business Name | SYNC PHYSICAL THERAPY & YOGA INC
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 5100 MARLBOROUGH DR STE 101
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City | SAN DIEGO
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State | CA
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Zip | 92116-2020
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Country | US
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Telephone | 617-922-1978
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 MARLBOROUGH DR STE 101
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City | SAN DIEGO
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State | CA
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Zip | 92116-2020
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Country | US
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Telephone | 617-922-1978
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON LINZER
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Credential | DPT
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Telephone | 617-922-1978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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