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General NPI Number Information
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NPI Number | 1174185193
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Entity Type | Organization
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Legal Business Name | SYNERGY FLOW INC.
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Dates
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Enumeration Date | 06/29/2019
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Last Update Date | 06/29/2019
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Provider Practice Location Address
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Address Line | 18242 SYLVAN ST
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City | TARZANA
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State | CA
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Zip | 91335-7047
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Country | US
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Telephone | 818-342-4572
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Fax | 661-360-3413
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Provider Business Mailing Address
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Address Line | 18242 SYLVAN ST
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City | TARZANA
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State | CA
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Zip | 91335-7047
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Country | US
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Telephone | 818-342-4572
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Fax | 661-360-3413
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Authorized Official
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Title or Position | PRESIDENT
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Name | PARALUMAN TOLENTINO
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Credential |
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Telephone | 818-744-3144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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