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General NPI Number Information
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NPI Number | 1568500023
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Entity Type | Organization
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Legal Business Name | SYNERGY HEALTH CENTER
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 625 HARRISON ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-3681
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Country | US
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Telephone | 269-323-1954
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Fax | 269-323-4183
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Provider Business Mailing Address
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Address Line | 625 HARRISON ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-3681
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Country | US
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Telephone | 269-323-1954
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Fax | 269-323-4183
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. VALARIE S CUNNINGHAM
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Credential | LMSW
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Telephone | 269-323-1954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6801081655
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License Number State | MI
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