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General NPI Number Information
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NPI Number | 1447917653
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Entity Type | Organization
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Legal Business Name | THE SYNOLYST CORPORATION
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/13/2022
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Provider Practice Location Address
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Address Line | 17591 S DIXIE HWY
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5435
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Country | US
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Telephone | 305-916-1256
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Fax | 305-489-7795
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Provider Business Mailing Address
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Address Line | 10383 SW 186TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-6824
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Country | US
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Telephone | 786-560-9069
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONATHAN A RODRIGUEZ
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Credential | PA, EDD
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Telephone | 305-916-1256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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