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NPI Code Detail

MEDICARE: MR. RICHARD PAUL SYNER RPT

MEDICARE: MR. RICHARD PAUL SYNER RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT1709MS

General Provider Information

NPI Number : 1346398781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD PAUL SYNER RPT
Provider Business Mailing Address
First Line : 915 69TH CT
Second Line :
City : MERIDIAN
State : MS
Zip : 39305-8100
Country : US
Telephone Number : 601-482-8755
Fax Number :
Provider Business Practice Location Address
First Line : 711 AVIGNON DR
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-5120
Country : US
Telephone Number : 601-605-6777
Fax Number : 601-605-8869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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Directions to “ MR. RICHARD PAUL SYNER RPT” Practice Location

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