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General NPI Number Information
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NPI Number | 1528936606
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Entity Type | Organization
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Legal Business Name | SYNERGY CARE LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 5881 GLENRIDGE DR STE 100
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City | ATLANTA
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State | GA
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Zip | 30328-5389
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Country | US
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Telephone | 833-425-6868
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Fax | 855-217-1930
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Provider Business Mailing Address
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Address Line | 5881 GLENRIDGE DR STE 100
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City | ATLANTA
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State | GA
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Zip | 30328-5389
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Country | US
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Telephone | 833-425-6868
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Fax | 855-217-1930
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Authorized Official
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Title or Position | DIVISION PRESIDENT
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Name | JUDERAL HALL
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Credential |
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Telephone | 800-482-8466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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