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General NPI Number Information
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NPI Number | 1053068221
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Entity Type | Organization
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Legal Business Name | SYZYGY HEALTH LLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 223 WALNUT ST STE 18
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City | FRAMINGHAM
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State | MA
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Zip | 01702-7500
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Country | US
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Telephone | 508-474-8997
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Fax | 508-570-9997
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Provider Business Mailing Address
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Address Line | 223 WALNUT ST STE 18
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City | FRAMINGHAM
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State | MA
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Zip | 01702-7500
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Country | US
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Telephone | 508-474-8997
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Fax | 508-570-9997
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Authorized Official
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Title or Position | OWNER
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Name | MOLLY NATHANSON
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Credential | CNM,DNP
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Telephone | 978-474-8997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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