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General NPI Number Information
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NPI Number | 1043305162
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Entity Type | Organization
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Legal Business Name | SYNERGY REHAB CENTER LP
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 561 MEDICAL CENTER BLVD SUITE - B
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City | WEBSTER
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State | TX
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Zip | 77598-4240
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Country | US
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Telephone | 281-554-9885
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Fax | 281-554-9887
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Provider Business Mailing Address
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Address Line | 561 MEDICAL CENTER BLVD SUITE - B
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City | WEBSTER
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State | TX
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Zip | 77598-4240
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Country | US
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Telephone | 281-554-9885
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Fax | 281-554-9887
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Authorized Official
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Title or Position | DIRECTOR
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Name | GANESH N RAJAMANI
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Credential | PT
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Telephone | 281-554-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 1083491
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License Number State | TX
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