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General NPI Number Information
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NPI Number | 1942251178
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Entity Type | Organization
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Legal Business Name | SYNERGY BARIATRICS, PC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 30 N UNION RD STE 104
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5367
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Country | US
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Telephone | 716-565-3990
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Fax | 716-565-3988
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Provider Business Mailing Address
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Address Line | 30 N UNION RD SUITE 104
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5367
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Country | US
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Telephone | 716-565-3990
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Fax | 716-565-3988
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOSEPH A CARUANA
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Credential | MD, FACS
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Telephone | 71656593990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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