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General NPI Number Information
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NPI Number | 1306488762
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Entity Type | Organization
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Legal Business Name | SYNERGY ADVANCED HEALTHCARE LLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 16 BIRD ST STE 4
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City | TORRINGTON
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State | CT
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Zip | 06790-3838
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Country | US
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Telephone | 860-618-7575
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Fax | 860-618-7576
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Provider Business Mailing Address
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Address Line | 16 BIRD ST STE 4
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City | TORRINGTON
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State | CT
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Zip | 06790-3838
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Country | US
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Telephone | 860-618-7575
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Fax | 860-618-7575
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Authorized Official
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Title or Position | PARTNER
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Name | MICHAEL ALLEN
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Credential |
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Telephone | 203-870-1796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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