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General NPI Number Information
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NPI Number | 1477358117
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Entity Type | Organization
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Legal Business Name | SYNERGY WELLNESS CENTER SCOTTSDALE PC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST STE 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4523
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Country | US
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Telephone | 480-573-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 7910 DOWNING AVE STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5016
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Country | US
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Telephone | 661-336-2555
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Fax | 661-336-2552
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAN TROBISCH
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Credential | MD
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Telephone | 661-336-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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