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General NPI Number Information
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NPI Number | 1235091414
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Entity Type | Organization
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Legal Business Name | SYNERGY MEDICAL AND ADDICTION CLINIC LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 334 PASCO RD
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City | GARLAND
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State | TX
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Zip | 75044-3224
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Country | US
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Telephone | 732-788-9047
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Fax |
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Provider Business Mailing Address
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Address Line | 334 PASCO RD
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City | GARLAND
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State | TX
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Zip | 75044-3224
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Country | US
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Telephone | 732-788-9047
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABHIMANYU KAURA
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Credential | MD
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Telephone | 732-788-9047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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