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General NPI Number Information
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NPI Number | 1245425669
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Entity Type | Organization
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Legal Business Name | SYNERGY HOMECARE
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 11782 JOLLYVILLE RD STE. #209
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City | AUSTIN
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State | TX
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Zip | 78759-3938
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Country | US
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Telephone | 512-219-4018
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Fax |
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Provider Business Mailing Address
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Address Line | 402 W PALM VALLEY BLVD STE A PMB # 363
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City | ROUND ROCK
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State | TX
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Zip | 78664-4200
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Country | US
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Telephone | 512-699-9937
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / DIRECTOR
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Name | SAUL SANCHEZ JR.
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Credential |
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Telephone | 512-219-4018
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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 |
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License Number State |
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