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General NPI Number Information
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NPI Number | 1235459876
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Entity Type | Organization
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Legal Business Name | SYNERGY - A REHAB COMPANY
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Dates
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Enumeration Date | 06/06/2010
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Last Update Date | 06/06/2010
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Provider Practice Location Address
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Address Line | 6828 HAYWOOD ST
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City | TUJUNGA
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State | CA
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Zip | 91042-2850
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Country | US
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Telephone | 818-792-9949
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Fax |
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Provider Business Mailing Address
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Address Line | 6828 HAYWOOD ST
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City | TUJUNGA
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State | CA
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Zip | 91042-2850
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Country | US
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Telephone | 818-792-9949
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. ALEJANDRO SAUL DURAN
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Credential | J.D.
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Telephone | 818-792-9949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NA - NEW APPLICANT
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License Number State | CA
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