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General NPI Number Information
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NPI Number | 1124227848
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Entity Type | Organization
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Legal Business Name | SYNERGY HOLISTIC HEALTH CENTER LLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 7413 US 42 SUITE 3
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City | FLORENCE
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State | KY
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Zip | 41042-1999
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Country | US
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Telephone | 859-525-5000
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Fax | 859-525-1530
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Provider Business Mailing Address
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Address Line | 7413 US 42 SUITE 3
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City | FLORENCE
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State | KY
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Zip | 41042-1999
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Country | US
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Telephone | 859-525-5000
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Fax | 859-525-1530
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIE TAGHER
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Credential | LAC, LMT
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Telephone | 859-525-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | KY AC 018
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License Number State | KY
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