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General NPI Number Information
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NPI Number | 1679107999
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Entity Type | Organization
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Legal Business Name | SYNERGY FAMILY PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 5200 WILLSON RD STE 150
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City | EDINA
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State | MN
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Zip | 55424-1300
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Country | US
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Telephone | 952-855-8570
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 WILLSON RD STE 150
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City | EDINA
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State | MN
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Zip | 55424-1300
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Country | US
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Telephone | 952-855-8570
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOANNE HOWDEN-RICH
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Credential | NP
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Telephone | 952-855-8570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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