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General NPI Number Information
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NPI Number | 1841348315
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Entity Type | Organization
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Legal Business Name | APPLE INDEPENDENCE MOBILITY, LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 1750 LEE SEMINARY RD
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City | COOKEVILLE
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State | TN
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Zip | 38506-6463
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Country | US
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Telephone | 931-528-5788
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Fax | 931-432-5607
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Provider Business Mailing Address
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Address Line | 1750 LEE SEMINARY RD
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City | COOKEVILLE
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State | TN
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Zip | 38506-6463
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Country | US
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Telephone | 931-528-5788
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Fax | 931-432-5607
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY TODD APPLE
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Credential | ATP
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Telephone | 931-528-5788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0000000489
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License Number State | TN
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