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General NPI Number Information
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NPI Number | 1841708625
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Entity Type | Organization
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Legal Business Name | APPLECARE LLC
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 1481 HWY 40 E
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City | KINGSLAND
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State | GA
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Zip | 31548-6507
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Country | US
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Telephone | 912-576-6865
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Fax | 912-576-2565
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Provider Business Mailing Address
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Address Line | 401 MALL BLVD STE 202E
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City | SAVANNAH
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State | GA
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Zip | 31406-4834
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Country | US
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Telephone | 912-349-4945
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Fax | 912-349-4105
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Authorized Official
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Title or Position | PROVIDER CREDENTIALING
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Name | HEIDI NASH
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Credential |
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Telephone | 912-349-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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