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General NPI Number Information
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NPI Number | 1558569780
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Entity Type | Organization
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Legal Business Name | APPLE REHABILITATION AND FITNESS, INC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 3250 W PLEASANT RUN RD #120
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City | LANCASTER
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State | TX
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Zip | 75146-1041
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Country | US
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Telephone | 972-223-0005
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Fax | 972-223-6446
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Provider Business Mailing Address
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Address Line | 3250 W PLEASANT RUN RD #120
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City | LANCASTER
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State | TX
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Zip | 75146-1041
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Country | US
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Telephone | 972-223-0005
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Fax | 972-223-6446
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | WENDY PERELLI
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Credential |
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Telephone | 972-223-0005
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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 | 774434
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1010213
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License Number State | TX
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