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General NPI Number Information
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NPI Number | 1518028091
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Entity Type | Organization
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Legal Business Name | APPLE TREE DENTAL
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 115 DREW AVE SE
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City | MADELIA
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State | MN
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Zip | 56062-1841
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Country | US
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Telephone | 507-642-8742
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Fax | 507-642-2926
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Provider Business Mailing Address
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Address Line | 2201 26TH AVE NW STE 150
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-5005
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Country | US
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Telephone | 763-784-7993
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Fax | 763-784-5978
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Authorized Official
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Title or Position | CFO
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Name | NANCY SCHUMACHER
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Credential |
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Telephone | 763-784-7993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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