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General NPI Number Information
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NPI Number | 1730100694
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Entity Type | Organization
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Legal Business Name | SYMPHONY HEALTHCARE PA
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 711 W 38TH ST STE C9
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City | AUSTIN
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State | TX
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Zip | 78705-1137
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Country | US
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Telephone | 512-454-3500
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Fax | 512-590-5324
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Provider Business Mailing Address
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Address Line | PO BOX 269084
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-9084
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Country | US
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Telephone | 512-454-3500
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Fax | 512-454-3515
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Authorized Official
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Title or Position | FRONT OFFICE
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Name | JOHNNAE WHITE
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Credential |
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Telephone | 512-454-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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