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General NPI Number Information
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NPI Number | 1942729652
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Entity Type | Organization
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Legal Business Name | SYNERGY HEALTH MANAGEMENT LLC
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6550 SW 159TH PL
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City | MIAMI
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State | FL
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Zip | 33193-3652
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Country | US
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Telephone | 305-385-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 SW 159TH PL
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City | MIAMI
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State | FL
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Zip | 33193-3652
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Country | US
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Telephone | 305-385-9224
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAITE CALAS DE MAZOLA
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Credential |
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Telephone | 305-710-6486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347D00000X
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Taxonomy Name | Train
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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