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General NPI Number Information
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NPI Number | 1881626299
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Entity Type | Organization
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Legal Business Name | APT SERVICES LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/29/2009
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Provider Practice Location Address
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Address Line | 4108 N PORT DR
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City | ROCKFORD
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State | IL
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Zip | 61109-7314
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Country | US
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Telephone | 815-505-4441
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Fax | 630-206-0119
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Provider Business Mailing Address
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Address Line | 4108 N PORT DR
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City | ROCKFORD
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State | IL
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Zip | 61109-7314
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Country | US
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Telephone | 815-505-4441
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Fax | 630-206-0119
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | BERNARD ADENIX YAUN
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Credential | PT
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Telephone | 815-505-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 70010859
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License Number State | IL
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