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General NPI Number Information
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NPI Number | 1700084803
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Entity Type | Organization
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Legal Business Name | SYNERTX
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7818 WHITE BLVD
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City | ABILENE
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State | TX
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Zip | 79606-5553
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Country | US
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Telephone | 325-721-6086
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Fax |
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Provider Business Mailing Address
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Address Line | 7818 WHITE BLVD
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City | ABILENE
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State | TX
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Zip | 79606-5553
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Country | US
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Telephone | 325-721-6086
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Fax |
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Authorized Official
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Title or Position | PTA
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Name | MRS. JULIE CHRISTINE WEBB
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Credential |
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Telephone | 325-721-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 2060067
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License Number State | TX
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