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General NPI Number Information
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NPI Number | 1336640721
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Entity Type | Organization
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Legal Business Name | APPLE TREE HOME HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 4409 WINSTON DR
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City | FORT WAYNE
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State | IN
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Zip | 46806-2535
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Country | US
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Telephone | 260-417-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 4409 WINSTON DR
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City | FORT WAYNE
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State | IN
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Zip | 46806-2535
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | RICK FOSTER
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Credential |
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Telephone | 260-705-6739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 17-014207-3
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License Number State | IN
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