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General NPI Number Information
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NPI Number | 1275905432
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Entity Type | Organization
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Legal Business Name | SYNAPSES NEUROWATCH CORP
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 111 BOLAND STREET STE 211
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City | FT. WORTH
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State | TX
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Zip | 76107-1268
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Country | US
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Telephone | 866-766-3783
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Fax | 248-773-7703
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Provider Business Mailing Address
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Address Line | 28345 BECK RD STE 103
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City | WIXOM
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State | MI
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Zip | 48393-4733
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Country | US
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Telephone | 866-766-3783
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Fax | 248-773-7703
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MCKAY
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Credential |
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Telephone | 866-766-3783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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