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General NPI Number Information
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NPI Number | 1750733424
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Entity Type | Organization
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Legal Business Name | SYNERGY FAMILY CARE NETWORK
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 1505 SANDSTONE CT
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City | DESOTO
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State | TX
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Zip | 75115-7841
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Country | US
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Telephone | 214-724-3723
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 SANDSTONE CT
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City | DESOTO
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State | TX
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Zip | 75115-7841
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Country | US
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Telephone | 214-724-3723
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARTHA BRECKENRIDGE
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Credential | APN
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Telephone | 214-724-3723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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