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General NPI Number Information
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NPI Number | 1508874306
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Entity Type | Individual
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Provider Name | EDWARD NATHAN APPLEBAUM D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 2751 NAPA VALLEY CORPORATE DR
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City | NAPA
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State | CA
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Zip | 94558
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Country | US
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Telephone | 856-482-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 1574 GENE ST
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City | BELPRE
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State | OH
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Zip | 45714-2114
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Country | US
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Telephone | 856-482-5444
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS008042L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 15846
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License Number State | CA
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