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General NPI Number Information
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NPI Number | 1831480557
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Entity Type | Organization
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Legal Business Name | SYNERGY PROFESSIONAL CONSULTING SERVICES INC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 2331 W LINCOLN AVE STE 300
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City | ANAHEIM
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State | CA
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Zip | 92801-5103
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Country | US
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Telephone | 714-595-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 W LINCOLN AVE STE 300
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City | ANAHEIM
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State | CA
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Zip | 92801-5103
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Country | US
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Telephone | 714-595-3008
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Fax |
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Authorized Official
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Title or Position | CHIEF PSYCHOLOGIST
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Name | DR. SONIA SINGH
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Credential | PSY.D.
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Telephone | 714-595-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY23964
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License Number State | CA
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