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General NPI Number Information
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NPI Number | 1114689577
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Entity Type | Organization
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Legal Business Name | SYNAPSE MOBILE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 2417 E 3RD ST APT 2
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City | DULUTH
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State | MN
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Zip | 55812-1854
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Country | US
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Telephone | 218-302-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 1346 W ARROWHEAD RD STE 322
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City | DULUTH
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State | MN
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Zip | 55811-2218
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | KADY ADAMS
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Credential | PT, DPT
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Telephone | 906-364-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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