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General NPI Number Information
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NPI Number | 1285434415
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Entity Type | Organization
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Legal Business Name | SYNAPTIC COVE MENTAL HEALTH
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 103 COLUM CT
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2409
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Country | US
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Telephone | 478-305-3198
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Fax | 470-826-6434
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Provider Business Mailing Address
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Address Line | 103 COLUM CT
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2409
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Country | US
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Telephone | 478-305-3198
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. JOSEPHINE UY DRIZ
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Credential | PHMNP
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Telephone | 478-305-3198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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