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General NPI Number Information
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NPI Number | 1336545946
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Entity Type | Organization
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Legal Business Name | APT FAIRHOPE LLC
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 915 PLANTATION BLVD
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City | FAIRHOPE
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State | AL
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Zip | 36532-2949
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Country | US
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Telephone | 251-732-2635
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Fax | 251-732-2637
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Provider Business Mailing Address
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Address Line | 915 PLANTATION BLVD
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City | FAIRHOPE
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State | AL
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Zip | 36532-2949
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Country | US
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Telephone | 251-732-2635
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Fax | 251-732-2637
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Authorized Official
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Title or Position | MANAGER
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Name | EDWARD C GOOD
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Credential |
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Telephone | 214-347-7140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State | AL
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