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General NPI Number Information
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NPI Number | 1568693224
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Entity Type | Organization
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Legal Business Name | NSYNCH HEALTHCARE INC
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 3180 EXECUTIVE DR STE 105
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City | SAN ANGELO
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State | TX
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Zip | 76904-6837
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Country | US
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Telephone | 325-227-4697
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Fax | 325-227-4759
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Provider Business Mailing Address
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Address Line | 3180 EXECUTIVE DR STE 105
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City | SAN ANGELO
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State | TX
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Zip | 76904-6837
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Country | US
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Telephone | 325-227-4697
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Fax | 325-227-4759
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Authorized Official
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Title or Position | BILLING
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Name | MICHELLE SERVICE
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Credential |
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Telephone | 325-227-4697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | J0271
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License Number State | TX
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