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General NPI Number Information
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NPI Number | 1083137038
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Entity Type | Organization
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Legal Business Name | SYNERGY CLINICAL PLLC
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 11/27/2017
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Provider Practice Location Address
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Address Line | 250 W CONTINENTAL RD STE 500
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City | GREEN VALLEY
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State | AZ
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Zip | 85622-3592
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Country | US
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Telephone | 520-427-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W CONTINENTAL RD STE 500
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City | GREEN VALLEY
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State | AZ
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Zip | 85622-3592
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Country | US
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Telephone | 520-427-6051
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. KATARZYNA WEGNER
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Credential | NP
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Telephone | 520-427-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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