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General NPI Number Information
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NPI Number | 1417009432
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Entity Type | Organization
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Legal Business Name | MARTIN I. APPLE, M.D., P.C.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 28905 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1805
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Country | US
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Telephone | 248-358-3937
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Fax | 248-358-0947
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Provider Business Mailing Address
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Address Line | 28905 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1805
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Country | US
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Telephone | 248-358-3937
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Fax | 248-358-0947
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Authorized Official
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Title or Position | MANAGER
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Name | MS. CAROLYN GAYLE FUERST
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Credential |
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Telephone | 248-358-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 044879
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License Number State | MI
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