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General NPI Number Information
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NPI Number | 1881226074
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Entity Type | Organization
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Legal Business Name | APPLE MEDICAL SYSTEMS ASSOCIATES LLC
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 2000 MAPLE HILL ST STE 100
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4176
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Country | US
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Telephone | 631-212-1842
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Fax | 631-229-9315
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Provider Business Mailing Address
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Address Line | PO BOX 12596
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City | NEWARK
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State | NJ
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Zip | 07101-3562
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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 | ADMINISTRATOR
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Name | JOSEPH CHELALES
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Credential |
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Telephone | 646-285-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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