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General NPI Number Information
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NPI Number | 1629325238
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Entity Type | Organization
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Legal Business Name | SYNERGI PHARMACEUTICAL SOLUTIONS INC
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 6865 ALTON PKWY SUITE 120
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City | IRVINE
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State | CA
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Zip | 92618-3739
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Country | US
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Telephone | 949-612-6088
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Fax | 949-612-6082
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Provider Business Mailing Address
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Address Line | 6865 ALTON PKWY SUITE 120
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City | IRVINE
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State | CA
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Zip | 92618-3739
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Country | US
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Telephone | 949-612-6088
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Fax | 949-612-6082
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Authorized Official
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Title or Position | PRESIDENT/ PHARMACIST
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Name | DR. TOM YEN-PO WANG
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Credential | PHARM D
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Telephone | 949-612-6088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State | CA
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