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General NPI Number Information
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NPI Number | 1821773409
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Entity Type | Organization
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Legal Business Name | SYNERGY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 4171 W HILLSBORO BLVD STE 9
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2154
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Country | US
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Telephone | 561-847-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 4171 W HILLSBORO BLVD STE 9
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2154
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Country | US
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Telephone | 561-847-6520
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TYGUE ARVIDSON
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Credential |
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Telephone | 517-215-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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