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NPI 1952129322

NPI 1952129322 : SYNERGY HEALTH SOLUTIONS LLC : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1952129322
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYNERGY HEALTH SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    10/02/2024
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    Last Update Date     |    10/02/2024
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Provider Practice Location Address
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    Address Line         |    11860 VISTA DEL SOL DR # 128 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79936-6128
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    Country              |    US
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    Telephone            |    915-412-6677
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    Fax                  |    866-574-1351
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Provider Business Mailing Address
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    Address Line         |    11860 VISTA DEL SOL DR # 128 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79936-6128
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    Country              |    US
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    Telephone            |    915-412-6677
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    Fax                  |    866-574-1351
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Authorized Official
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    Title or Position    |    PRESIDENT/CHIROPRACTOR
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    Name                 |    DR. ALEXANDER ISAIAH JIMENEZ 
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    Credential           |    DC
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    Telephone            |    915-820-9443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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