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General NPI Number Information
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NPI Number | 1952620296
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Entity Type | Organization
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Legal Business Name | PODIAS ENTERPRISES LLC DBA SYNERGY HOME CARE
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 115 US HIGHWAY 46 W BUILDING D, SUITE 32
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 973-394-5638
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Fax | 973-394-5630
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Provider Business Mailing Address
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Address Line | 115 US HIGHWAY 46 W BUILDING D, SUITE 32
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1668
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Country | US
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Telephone | 973-394-5638
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Fax | 973-394-5630
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Authorized Official
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Title or Position | OWNER/HEAD OF OPERATIONS
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Name | MR. ANTONIO PODIAS
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Credential |
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Telephone | 973-394-5638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0136300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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