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General NPI Number Information
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NPI Number | 1932572336
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Entity Type | Organization
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Legal Business Name | APELA ADVANCED PRACTICE CLINICAL CONSULTANTS
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 11/06/2015
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Provider Practice Location Address
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Address Line | 15700 W 10 MILE RD STE 216
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2143
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Country | US
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Telephone | 248-893-5206
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Fax | 248-432-6541
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Provider Business Mailing Address
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Address Line | 15700 W 10 MILE RD STE 216
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2143
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Country | US
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Telephone | 248-893-5206
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Fax | 248-432-6541
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSELYNE OGOLA-MWANGALE
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Credential | MSN, APN-NP, FNP-C
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Telephone | 248-636-6058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704296484
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License Number State | MI
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