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General NPI Number Information
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NPI Number | 1518047448
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Entity Type | Organization
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Legal Business Name | APPLETREE FAMILY LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3330 N 2ND ST SUITE 206
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City | PHOENIX
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State | AZ
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Zip | 85012-2368
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Country | US
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Telephone | 602-279-7871
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Fax | 602-279-8042
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Provider Business Mailing Address
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Address Line | PO BOX 33336
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City | PHOENIX
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State | AZ
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Zip | 85067-3336
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Country | US
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Telephone | 602-279-7871
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Fax | 602-279-8042
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Authorized Official
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Title or Position | OWNER
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Name | MISS JUDY C SIPES
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Credential | R.T., R.D.M.S.
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Telephone | 602-279-7871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 7MM3411
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License Number State | AZ
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