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General NPI Number Information
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NPI Number | 1386391084
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Entity Type | Organization
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Legal Business Name | APPLE TREE GENETICS LLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 8620 SURTIDOR DR
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City | LAS VEGAS
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State | NV
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Zip | 89117-1195
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Country | US
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Telephone | 786-380-9235
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Fax | 888-915-0792
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Provider Business Mailing Address
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Address Line | 8620 SURTIDOR DR
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City | LAS VEGAS
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State | NV
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Zip | 89117-1195
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Country | US
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Telephone | 786-380-9235
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Fax | 888-915-0792
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Authorized Official
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Title or Position | GENETIC COUNSELOR
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Name | MS. RACHEL SILVA-SMITH
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Credential | MSC, CGC
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Telephone | 786-380-9235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number |
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License Number State |
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