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General NPI Number Information
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NPI Number | 1790664431
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Entity Type | Organization
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Legal Business Name | SCINERGY LLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 9191 BOLSA AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-5564
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Country | US
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Telephone | 949-331-3347
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Fax |
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Provider Business Mailing Address
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Address Line | 9191 BOLSA AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-5564
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Country | US
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Telephone | 949-331-3347
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANHDAO QUACH
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Credential |
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Telephone | 949-331-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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