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NPI 1902627078

NPI 1902627078 : APPLE COMMUNITY HEALTH SERVICES LLC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1902627078
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    Entity Type          |    Organization 
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    Legal Business Name  |    APPLE COMMUNITY HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    10/22/2024
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    Last Update Date     |    10/22/2024
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Provider Practice Location Address
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    Address Line         |    1708 PEACHTREE STREET NE SUITE 103
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30309
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    Country              |    US
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    Telephone            |    404-975-3226
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    Fax                  |    678-626-5976
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Provider Business Mailing Address
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    Address Line         |    1708 PEACHTREE STREET NE SUITE 103
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30309
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    Country              |    US
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    Telephone            |    404-975-3226
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    Fax                  |    678-626-5976
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     AHMAD  ABDULLAH 
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    Credential           |    
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    Telephone            |    678-328-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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