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General NPI Number Information
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NPI Number | 1730395393
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Entity Type | Organization
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Legal Business Name | SARAH APOLLO, DO, INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 500 S ANAHEIM HILLS RD SUITE 206
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City | ANAHEIM
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State | CA
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Zip | 92807-4780
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Country | US
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Telephone | 714-921-6475
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Fax | 714-282-6935
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Provider Business Mailing Address
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Address Line | 1045 ATLANTIC AVE SUITE 705
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City | LONG BEACH
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State | CA
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Zip | 90813-3408
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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 | OWNER
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Name | SARAH APOLLO
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Credential | DO
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Telephone | 562-491-9281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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