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General NPI Number Information
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NPI Number | 1730348681
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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 | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 7540 N 19TH AVE STE 200
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City | PHOENIX
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State | AZ
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Zip | 85021-7967
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Country | US
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Telephone | 888-873-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 38 BEECHWOOD DR
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City | STRAFFORD
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State | NH
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Zip | 03884-6802
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Country | US
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Telephone | 603-664-7144
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Fax |
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Authorized Official
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Title or Position | PT ASSISTANT
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Name | MRS. LAURA HUTCHINSON SMITH
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Credential |
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Telephone | 603-664-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0199
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License Number State | NH
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