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General NPI Number Information
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NPI Number | 1497089080
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Entity Type | Organization
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Legal Business Name | SYNERGY PHYSICAL THERAPY AND YOGA, INC
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 2942 EVERGREEN PKWY
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City | EVERGREEN
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State | CO
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Zip | 80439
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Country | US
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Telephone | 303-917-5575
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Fax |
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Provider Business Mailing Address
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Address Line | 2942 EVERGREEN PKWY SUITE 303
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City | EVERGREEN
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State | CO
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Zip | 80439-7909
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Country | US
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Telephone | 303-568-9905
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MS. CHRISTINE CARR
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Credential | P.T.
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Telephone | 303-568-9905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 7904
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License Number State | CO
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