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NPI 1134128713

NPI 1134128713 : BRUCE ALAN APPLE MS,PT,ATC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1134128713
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    Entity Type          |    Individual 
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    Provider Name        |    BRUCE ALAN APPLE MS,PT,ATC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    420 BAINBRIDGE ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19147-1568
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    Country              |    US
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    Telephone            |    215-629-1270
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    Fax                  |    215-629-5531
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Provider Business Mailing Address
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    Address Line         |    1888 ROUTE 70 E 
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    City                 |    CHERRY HILL
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    State                |    NJ
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    Zip                  |    08003-2178
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    Country              |    US
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    Telephone            |    856-424-7524
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    Fax                  |    856-424-7599
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    QAO03263
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    002052E
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    License Number State |    PA
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