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General NPI Number Information
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NPI Number | 1578083572
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Entity Type | Organization
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Legal Business Name | SYNAPTIXS IONM, LLC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 4500 ELDORADO PKWY STE 3300
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City | MCKINNEY
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State | TX
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Zip | 75070-5749
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Country | US
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Telephone | 855-864-4322
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Fax | 609-353-5213
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Provider Business Mailing Address
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Address Line | DEPT 880257 PO BOX 29650
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City | PHOENIX
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State | AZ
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Zip | 85038-9650
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Country | US
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Telephone | 303-704-4621
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICK LUEKENGA
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Credential |
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Telephone | 801-808-9538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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