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General NPI Number Information
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NPI Number | 1528454220
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Entity Type | Organization
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Legal Business Name | SYNATEC NEURO, INC
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 4601 E DOUGLAS AVE SUITE 116
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City | WICHITA
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State | KS
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Zip | 67218-1031
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Country | US
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Telephone | 316-337-5607
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Fax | 316-337-5531
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Provider Business Mailing Address
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Address Line | 4601 E DOUGLAS AVE SUITE 116
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City | WICHITA
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State | KS
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Zip | 67218-1031
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Country | US
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Telephone | 316-337-5607
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Fax | 316-337-5531
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT L MANOS
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Credential | R.NCS.T
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Telephone | 316-734-1394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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