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General NPI Number Information
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NPI Number | 1528588191
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Entity Type | Organization
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Legal Business Name | AP RESOURCES
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 07/23/2017
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Provider Practice Location Address
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Address Line | 601 N ANDERSON ST
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City | BUNNELL
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State | FL
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Zip | 32110-8006
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Country | US
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Telephone | 386-986-6469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 957
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City | BUNNELL
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State | FL
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Zip | 32110-0957
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | MR. PAUL GARFIELD BOND
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Credential | ARNP
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Telephone | 386-986-6469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP2730962
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License Number State | FL
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