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General NPI Number Information
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NPI Number | 1104718881
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Entity Type | Organization
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Legal Business Name | APC HOLDINGS LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 10736 RANDOLPH ST
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City | WINFIELD
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State | IN
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Zip | 46307-7983
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Country | US
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Telephone | 219-243-8140
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 681029
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City | FRANKLIN
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State | TN
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Zip | 37068-1029
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Country | US
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Telephone | 931-253-1110
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CREDENTIALING/ENROLLMENT
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Name | MELISSA HARLAN
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Credential |
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Telephone | 615-948-9639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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