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General NPI Number Information
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NPI Number | 1265634398
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Entity Type | Organization
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Legal Business Name | SYFERD WELLNESS ENTITIES, P.A.
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 8809 LAKEVIEW PKWY SUITE 116
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City | ROWLETT
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State | TX
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Zip | 75088-4554
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Country | US
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Telephone | 972-463-2212
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Fax | 972-463-1167
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Provider Business Mailing Address
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Address Line | 8809 LAKEVIEW PKWY SUITE 116
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City | ROWLETT
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State | TX
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Zip | 75088-4554
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Country | US
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Telephone | 972-463-2212
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Fax | 972-463-1167
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES LYN SYFERD
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Credential | D.C.
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Telephone | 972-463-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5776
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License Number State | TX
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