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General NPI Number Information
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NPI Number | 1104762327
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Entity Type | Organization
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Legal Business Name | SYNERGY ORTHOPEDIC SPECIALISTS, INC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 4700 SPRING ST STE 180
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City | LA MESA
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State | CA
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Zip | 91942-0272
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Country | US
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Telephone | 619-797-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 SPRING ST STE 180
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City | LA MESA
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State | CA
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Zip | 91942-0272
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Country | US
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Telephone | 619-797-1190
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAL DAVID
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Credential |
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Telephone | 858-412-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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