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General NPI Number Information
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NPI Number | 1073703625
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Entity Type | Organization
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Legal Business Name | APPELMAN EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 100 PIPER HILL DR SUITE D
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City | SAINT PETERS
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State | MO
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Zip | 63376-1616
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Country | US
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Telephone | 636-928-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PIPER HILL DR SUITE D
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City | SAINT PETERS
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State | MO
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Zip | 63376-1616
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Country | US
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Telephone | 636-928-3937
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. EDWARD CHARLES APPELMAN
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Credential | O.D.
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Telephone | 636-928-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TO2628
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License Number State | MO
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