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General NPI Number Information
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NPI Number | 1861446098
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Entity Type | Organization
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Legal Business Name | APPLE OPHTHALMIC PA
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 120 MEDICAL BLVD SUITE 100
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City | SPRING HILL
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State | FL
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Zip | 34609-0220
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Country | US
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Telephone | 352-666-9990
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Fax | 352-666-1905
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Provider Business Mailing Address
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Address Line | 120 MEDICAL BLVD SUITE 100
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City | SPRING HILL
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State | FL
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Zip | 34609-0220
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Country | US
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Telephone | 352-666-9990
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Fax | 352-666-1905
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH B STOLTE
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Credential | MD
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Telephone | 352-666-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME0043218
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License Number State | FL
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