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General NPI Number Information
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NPI Number | 1679975270
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Entity Type | Organization
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Legal Business Name | SYNERGY URGENT CARE, PLLC
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 1980 GALLOWS RD STE 100
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City | TYSONS CORNER
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State | VA
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Zip | 22182-3913
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Country | US
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Telephone | 703-356-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 1980 GALLOWS RD STE 100
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City | TYSONS CORNER
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State | VA
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Zip | 22182-3913
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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 | MANAGER
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Name | DR. STEPHEN CHANG
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Credential | M.D.
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Telephone | 703-356-9899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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