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General NPI Number Information
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NPI Number | 1447990858
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Entity Type | Organization
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Legal Business Name | SYNAPSE WELLNESS & COUNSELING
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 703 S MAIN ST
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City | KANNAPOLIS
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State | NC
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Zip | 28081-4915
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Country | US
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Telephone | 704-412-9759
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Fax | 704-490-4671
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Provider Business Mailing Address
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Address Line | 1635 RUSTIC ARCH WAY
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3628
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Country | US
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Telephone | 704-728-3406
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Fax | 704-490-4671
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Authorized Official
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Title or Position | PROVIDER
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Name | TAMMY DENISE GARCIA
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Credential | NP
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Telephone | 704-728-3406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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