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General NPI Number Information
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NPI Number | 1316029622
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Entity Type | Organization
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Legal Business Name | APPLE THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 41 BUTTRICK RD MEDICAL PARK TWO
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City | LONDONDERRY
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State | NH
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Zip | 03053-3367
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Country | US
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Telephone | 603-537-1677
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Fax | 603-537-1676
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Provider Business Mailing Address
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Address Line | 29 KOSCIUSZKO ST
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City | MANCHESTER
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State | NH
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Zip | 03101-1624
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Country | US
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Telephone | 603-537-1677
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Fax | 603-537-1676
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BENJAMIN P BISKOVICH
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Credential | MPT
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Telephone | 603-537-1677
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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 | 2856
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1666
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2858
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License Number State | NH
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