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NPI 1619342714

NPI 1619342714 : SYNERGY PHYSICAL THERAPY AND PILATES : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1619342714
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYNERGY PHYSICAL THERAPY AND PILATES 
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Dates
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    Enumeration Date     |    12/01/2015
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    Last Update Date     |    12/01/2015
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Provider Practice Location Address
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    Address Line         |    2919 WELBORN ST SUITE 100
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75219-4931
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    Country              |    US
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    Telephone            |    940-783-8192
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2919 WELBORN ST SUITE 100
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75219-4931
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    Country              |    US
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    Telephone            |    940-783-8192
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ PHYSICAL THERAPIST
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    Name                 |     DANA  HELSTOWSKI 
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    Credential           |    PT
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    Telephone            |    940-783-8192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    1227689
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    License Number State |    TX
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