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NPI 1396869764

NPI 1396869764 : SYNERGY PHYSICAL THERAPY, INC. : AUSTINTOWN, OH

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General NPI Number Information
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    NPI Number           |    1396869764
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYNERGY PHYSICAL THERAPY, INC. 
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Dates
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    Enumeration Date     |    03/19/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    45 N CANFIELD NILES RD 
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    City                 |    AUSTINTOWN
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    State                |    OH
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    Zip                  |    44515-2343
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    Country              |    US
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    Telephone            |    330-792-0000
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    Fax                  |    330-792-9006
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Provider Business Mailing Address
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    Address Line         |    45 N CANFIELD NILES RD P.O. BOX 4148
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    City                 |    AUSTINTOWN
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    State                |    OH
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    Zip                  |    44515-2343
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    Country              |    US
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    Telephone            |    330-792-0000
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    Fax                  |    330-792-9006
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     LINDA  SIMEONE 
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    Credential           |    
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    Telephone            |    330-792-4755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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