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General NPI Number Information
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NPI Number | 1417103524
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Entity Type | Organization
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Legal Business Name | SYNERGY MEDICAL EQUIPMENT AND SUPPLIES
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Dates
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Enumeration Date | 08/09/2008
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 2723 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8464
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Country | US
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Telephone | 956-627-3721
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Fax | 956-627-3722
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Provider Business Mailing Address
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Address Line | 2723 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8464
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Country | US
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Telephone | 956-627-3721
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Fax | 956-627-3722
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | NORMA IDALIA ARREOLA
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Credential |
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Telephone | 956-627-3721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0105178
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0105178
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License Number State | TX
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