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General NPI Number Information
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NPI Number | 1134630494
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Entity Type | Organization
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Legal Business Name | SYNERGY HOMECARE
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 4500 S MAIN ST STE 106
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City | ACWORTH
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State | GA
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Zip | 30101-5400
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Country | US
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Telephone | 770-766-8787
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Fax | 833-514-6754
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Provider Business Mailing Address
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Address Line | 4500 S MAIN ST STE 106
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City | ACWORTH
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State | GA
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Zip | 30101-5400
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Country | US
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Telephone | 770-766-8787
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Fax | 833-514-6754
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Authorized Official
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Title or Position | OWNER
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Name | PRIYANKA AMIT PATEL
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Credential |
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Telephone | 770-766-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 008-R-0722
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License Number State | GA
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