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NPI 1346119732

NPI 1346119732 : SYNERGY HOMECARE OF GARDEN GROVE : GARDEN GROVE, CA

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General NPI Number Information
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    NPI Number           |    1346119732
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYNERGY HOMECARE OF GARDEN GROVE 
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Dates
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    Enumeration Date     |    11/03/2025
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    Last Update Date     |    11/03/2025
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Provider Practice Location Address
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    Address Line         |    11590 TRASK AVE 
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92843-3837
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    Country              |    US
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    Telephone            |    714-927-3835
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    Fax                  |    714-494-8337
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Provider Business Mailing Address
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    Address Line         |    11590 TRASK AVE 
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    City                 |    GARDEN GROVE
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    State                |    CA
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    Zip                  |    92843-3837
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    Country              |    US
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    Telephone            |    714-927-3835
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    Fax                  |    714-494-8337
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/OWNER
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    Name                 |     FADI  ALAWI 
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    Credential           |    
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    Telephone            |    949-289-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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