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General NPI Number Information
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NPI Number | 1679555213
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Entity Type | Individual
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Provider Name | ANTONIO E. APELLANES MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 2101 TENAYA DR
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City | MODESTO
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State | CA
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Zip | 95354-3930
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Country | US
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Telephone | 209-576-6766
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Fax | 209-576-6770
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Provider Business Mailing Address
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Address Line | 737 W CHILDS AVE
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City | MERCED
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State | CA
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Zip | 95341-6805
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Country | US
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Telephone | 209-385-5481
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Fax | 209-383-1296
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A61655
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License Number State | CA
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