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General NPI Number Information
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NPI Number | 1851917884
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Entity Type | Organization
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Legal Business Name | SYNERGY MEDICAL CARE, LLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 305 W GRAND AVE STE 900
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City | MONTVALE
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State | NJ
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Zip | 07645-1813
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Country | US
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Telephone | 201-677-8680
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Fax | 888-425-6116
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Provider Business Mailing Address
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Address Line | 305 W GRAND AVE STE 900
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City | MONTVALE
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State | NJ
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Zip | 07645-1813
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Country | US
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Telephone | 201-677-8680
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Fax | 888-425-6116
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Authorized Official
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Title or Position | CMO
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Name | DR. SAKINA FIROZ DINANI
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Credential | DO
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Telephone | 201-677-8680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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