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General NPI Number Information
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NPI Number | 1447638143
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Entity Type | Organization
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Legal Business Name | SYNERGY FIRST ASSISTANTS
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 6043 C DURHAM DR
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City | LAKE WORTH
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State | FL
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Zip | 33467-8712
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Country | US
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Telephone | 888-540-5553
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Fax | 561-612-4914
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Provider Business Mailing Address
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Address Line | 6043 C DURHAM DR
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City | LAKE WORTH
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State | FL
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Zip | 33467-8712
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Country | US
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Telephone | 888-540-5553
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Fax | 561-642-4914
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Authorized Official
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Title or Position | CEO
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Name | MR. MARVIN DOZIER DOZIER
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Credential | CSA
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Telephone | 888-540-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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