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General NPI Number Information
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NPI Number | 1639018393
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Entity Type | Organization
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Legal Business Name | SURGEINSYNC, LLC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 4115 TIDEWATER DR
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City | HOUSTON
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State | TX
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Zip | 77045-4345
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Country | US
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Telephone | 346-265-8405
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 SEASPRAY CT APT 1016
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City | HOUSTON
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State | TX
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Zip | 77008-3140
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Country | US
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Telephone | 346-265-8405
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Fax |
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Authorized Official
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Title or Position | COO
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Name | TIFFANEY LEANNE STEVERSON
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Credential |
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Telephone | 346-868-7340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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