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General NPI Number Information
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NPI Number | 1205623956
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Entity Type | Organization
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Legal Business Name | SYNERGY CARES MEDICAL SERVICES
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | W267S7535 OLYMPIA CT N
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City | WAUKESHA
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State | WI
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Zip | 53189-9637
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Country | US
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Telephone | 262-316-1415
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Fax |
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Provider Business Mailing Address
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Address Line | W267S7535 OLYMPIA CT N
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City | WAUKESHA
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State | WI
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Zip | 53189-9637
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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
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Name | PAULETTE WHALEN
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Credential |
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Telephone | 262-316-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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