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General NPI Number Information
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NPI Number | 1114754017
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Entity Type | Organization
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Legal Business Name | SYNAPSES IOM TX LLC
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 866-766-3783
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Fax | 248-254-6524
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Provider Business Mailing Address
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Address Line | 28345 BECK RD STE 103
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City | WIXOM
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State | MI
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Zip | 48393-4733
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Country | US
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Telephone | 866-766-3783
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Fax | 248-254-6524
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Authorized Official
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Title or Position | OFFICE ADMINSTRATOR
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Name | JAIMIE ACROMITE
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Credential |
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Telephone | 866-766-3783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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