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General NPI Number Information
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NPI Number | 1962875567
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Entity Type | Organization
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Legal Business Name | SYNERGY THERAPEUTIC SOLUTIONS, INC.
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 3893 MILITARY TRL SUITE 2
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City | JUPITER
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State | FL
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Zip | 33458-2936
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Country | US
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Telephone | 561-320-9302
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Fax | 561-320-9305
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Provider Business Mailing Address
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Address Line | 3893 MILITARY TRL SUITE 2
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City | JUPITER
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State | FL
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Zip | 33458-2936
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Country | US
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Telephone | 561-320-9302
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Fax | 561-320-9305
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. JORDAN ZABRISKIE
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Credential | D.C.
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Telephone | 561-320-9302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH9386
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License Number State | FL
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