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General NPI Number Information
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NPI Number | 1871948380
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Entity Type | Organization
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Legal Business Name | APN SERVICES, LLC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 26 WARNOCK SPRINGS RD
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City | MAGNOLIA
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State | AR
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Zip | 71753-9000
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Country | US
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Telephone | 337-991-9276
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 DULLES DR
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City | LAFAYETTE
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State | LA
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Zip | 70506-3718
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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 | MEMBER
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Name | ROSS PONTHIE
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Credential |
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Telephone | 337-991-9276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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