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General NPI Number Information
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NPI Number | 1285846352
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Entity Type | Organization
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Legal Business Name | APT MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/02/2021
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Provider Practice Location Address
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Address Line | 270 COMMERCIAL ST B
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City | PORTOLA
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State | CA
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Zip | 96122-9608
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Country | US
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Telephone | 530-832-9642
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Fax | 530-832-9643
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Provider Business Mailing Address
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Address Line | 270B COMMERCIAL ST
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City | PORTOLA
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State | CA
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Zip | 96122-9608
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Country | US
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Telephone | 530-832-9642
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Fax | 530-832-9643
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Authorized Official
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Title or Position | MANAGER
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Name | PATRICIA J ANTTILA
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Credential | PT
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Telephone | 530-832-9642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT20786
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License Number State | CA
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