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General NPI Number Information
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NPI Number | 1598787616
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Entity Type | Organization
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Legal Business Name | SYNERGY REHAB, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 29877 TELEGRAPH RD STE 303
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City | SOUTHFIELD
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State | MI
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Zip | 48034-7660
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Country | US
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Telephone | 248-298-0433
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Fax | 248-298-0434
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Provider Business Mailing Address
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Address Line | 29877 TELEGRAPH RD STE 303
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City | SOUTHFIELD
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State | MI
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Zip | 48034-7660
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Country | US
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Telephone | 248-298-0433
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Fax | 248-298-0434
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TAPAN K RAUT
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Credential | PT
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Telephone | 248-298-0433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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