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General NPI Number Information
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NPI Number | 1265830160
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Entity Type | Organization
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Legal Business Name | SYNERCHI SYSTEMS INC
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 2131 E BROADWAY RD STE 2
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City | TEMPE
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State | AZ
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Zip | 85282-1737
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Country | US
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Telephone | 602-748-5940
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Fax | 480-686-9125
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Provider Business Mailing Address
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Address Line | 2131 E BROADWAY RD STE 2
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City | TEMPE
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State | AZ
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Zip | 85282-1737
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Country | US
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Telephone | 602-748-5940
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Fax | 480-686-9125
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERARD HEFFERON
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Credential | DC, CCSP
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Telephone | 602-748-5940
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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 | 7656
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License Number State | AZ
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