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General NPI Number Information
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NPI Number | 1821467556
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Entity Type | Organization
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Legal Business Name | SYNERGY OF SPIRIT
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 4 MAIN ST
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City | CHESTER
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State | NY
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Zip | 10918-1255
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Country | US
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Telephone | 914-643-5700
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Fax | 845-342-2993
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Provider Business Mailing Address
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Address Line | 13 BONNELL ST
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City | MIDDLETOWN
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State | NY
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Zip | 10940-5632
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Country | US
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Telephone | 845-342-2993
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Fax | 845-342-2993
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Authorized Official
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Title or Position | PRESIDENT
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Name | REGINA ORSI
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Credential | LCSW
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Telephone | 845-342-2993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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