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General NPI Number Information
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NPI Number | 1821873142
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Entity Type | Organization
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Legal Business Name | APOLLO SENIOR CARE, LLC
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1217 SCHOFIELD AVE
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City | SCHOFIELD
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State | WI
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Zip | 54476-2352
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Country | US
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Telephone | 715-298-1117
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Fax | 715-227-8720
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Provider Business Mailing Address
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Address Line | 1217 SCHOFIELD AVE
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City | SCHOFIELD
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State | WI
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Zip | 54476-2352
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Country | US
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Telephone | 715-298-1117
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Fax | 715-227-8720
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JESSICA ANN RYAN-GEIGER
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Credential | APNP-BC
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Telephone | 171-521-8959
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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 |
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License Number State |
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