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General NPI Number Information
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NPI Number | 1518937184
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Entity Type | Individual
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Provider Name | RICHARD C. APODACA DDS
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 110 S CHESTNUT AVE
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City | EARLHAM
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State | IA
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Zip | 50072-2001
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Country | US
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Telephone | 515-758-2323
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Fax | 515-758-3031
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | EARLHAM
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State | IA
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Zip | 50072-0190
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Country | US
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Telephone | 515-758-2323
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Fax | 515-758-3031
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7007
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License Number State | IA
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