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General NPI Number Information
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NPI Number | 1245085059
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Entity Type | Organization
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Legal Business Name | SYNERGY CARE & WELLNESS INC
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 5975 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33313-6800
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Country | US
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Telephone | 497-934-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 W SUNRISE BLVD STE 216
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City | PLANTATION
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State | FL
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Zip | 33313-6813
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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 | DR KETTIA CHERENFANT
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Credential |
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Telephone | 407-934-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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