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NPI 1932666344

NPI 1932666344 : WVL SYNERGY MEDICAL SERVICES, LLC : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1932666344
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    Entity Type          |    Organization 
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    Legal Business Name  |    WVL SYNERGY MEDICAL SERVICES, LLC 
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Dates
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    Enumeration Date     |    02/22/2019
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    Last Update Date     |    02/20/2026
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Provider Practice Location Address
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    Address Line         |    599 9TH ST N STE 211 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5625
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    Country              |    US
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    Telephone            |    239-643-7888
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    Fax                  |    239-643-4744
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Provider Business Mailing Address
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    Address Line         |    599 9TH ST N STE 211 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5625
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    Country              |    US
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    Telephone            |    239-643-7888
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    Fax                  |    239-643-4744
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |     JOSEPH JOHN REPAY 
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    Credential           |    MD
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    Telephone            |    239-643-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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