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General NPI Number Information
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NPI Number | 1417571589
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Entity Type | Individual
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Provider Name | EMILY ANN APPOLD ATC
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Gender | Female
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 2350 S STATE ST
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City | ANN ARBOR
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State | MI
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Zip | 48104-6110
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Country | US
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Telephone | 734-647-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 S PLEASANT DR
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City | HOLMEN
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State | WI
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Zip | 54636-9164
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Country | US
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Telephone | 608-799-2406
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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