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General NPI Number Information
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NPI Number | 1033432521
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Entity Type | Individual
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Provider Name | ROBERT W APPLING D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 5779 GETWELL RD BLDG A SUITE 5
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City | SOUTHAVEN
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State | MS
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Zip | 38672-6347
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Country | US
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Telephone | 662-470-5029
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Fax | 662-655-5174
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Provider Business Mailing Address
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Address Line | 5779 GETWELL RD BLDG A SUITE 5
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City | SOUTHAVEN
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State | MS
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Zip | 38672-6347
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Country | US
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Telephone | 662-470-5029
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Fax | 662-655-5174
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DPM721
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 80208
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License Number State | MS
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