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General NPI Number Information
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NPI Number | 1457275497
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Entity Type | Organization
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Legal Business Name | SYNAPTIC PEDIATRIC THERAPIES, LLC.
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 1410 E RENNER RD STE 111
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City | RICHARDSON
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State | TX
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Zip | 75082-2227
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Country | US
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Telephone | 972-454-9309
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 852647
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City | RICHARDSON
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State | TX
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Zip | 75085-2647
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MOHAMMAD ELASHI
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Credential |
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Telephone | 972-454-9309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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