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General NPI Number Information
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NPI Number | 1255925533
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Entity Type | Organization
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Legal Business Name | SYNERGY WELLNESS LLC
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 999 CHESTNUT ST SE
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City | GAINESVILLE
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State | GA
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Zip | 30501-6956
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Country | US
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Telephone | 770-296-7100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7343
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City | GAINESVILLE
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State | GA
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Zip | 30504-0017
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Country | US
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Telephone | 770-296-7100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTOPHER WILLIAMS
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Credential | DC
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Telephone | 770-296-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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