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General NPI Number Information
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NPI Number | 1346190444
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Entity Type | Organization
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Legal Business Name | SYNERGY REHAB SCOTTSBLUFF LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1930 E 20TH PL STE 100A
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-2874
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Country | US
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Telephone | 307-780-8331
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1244
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City | MOUNTAIN VIEW
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State | WY
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Zip | 82939-1244
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Country | US
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Telephone | 307-780-8331
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DAREN MARTIN
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Credential | MPT
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Telephone | 307-780-8331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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