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General NPI Number Information
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NPI Number | 1114996402
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Entity Type | Organization
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Legal Business Name | APM PROVIDERS, INC
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1823 3RD ST N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-7469
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Country | US
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Telephone | 904-241-5310
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Fax | 904-247-9145
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Provider Business Mailing Address
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Address Line | PO BOX 51582
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32240-1582
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Country | US
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Telephone | 904-241-5310
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Fax | 904-247-9145
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. THOMAS C WALT
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Credential |
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Telephone | 904-241-5310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | NOT REQUIRED
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License Number State | FL
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