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General NPI Number Information
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NPI Number | 1609366541
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Entity Type | Organization
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Legal Business Name | SYNERGY BEHAVIORAL HEALTH GROUP
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 414 E SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1133
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Country | US
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Telephone | 302-703-2276
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Fax | 302-703-2913
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Provider Business Mailing Address
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Address Line | PO BOX 171
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City | MILTON
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State | DE
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Zip | 19968-0171
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MARGARET MARY GAESTEL
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Credential | LCSW
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Telephone | 302-703-2276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2014600723
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License Number State | DE
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