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General NPI Number Information
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NPI Number | 1861183048
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Entity Type | Organization
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Legal Business Name | SYNAPSES HEALTH LLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 2412 GENTLE HOLLOW DR
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City | WHITEHALL
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State | PA
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Zip | 18052-3985
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Country | US
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Telephone | 610-590-9824
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Fax | 610-379-3920
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Provider Business Mailing Address
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Address Line | PO BOX 663
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City | WHITEHALL
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State | PA
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Zip | 18052-0663
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Country | US
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Telephone | 610-590-9824
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Fax | 610-379-3920
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Authorized Official
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Title or Position | CRNP/OWNER
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Name | MISS BERNICE LORETTA MOORE
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Credential | NP
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Telephone | 347-804-3685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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