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General NPI Number Information
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NPI Number | 1972319101
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Entity Type | Organization
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Legal Business Name | APRELS PRIVATE CARE
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 53871 GENERATIONS DR APT 112
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City | SOUTH BEND
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State | IN
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Zip | 46635-1578
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Country | US
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Telephone | 574-993-4346
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Fax |
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Provider Business Mailing Address
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Address Line | 3767 CURTISS DR S
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City | SOUTH BEND
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State | IN
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Zip | 46628-1388
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Country | US
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Telephone | 574-520-3226
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Fax |
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Authorized Official
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Title or Position | C/O ADMINISTRATOR
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Name | APRIL HENDERSON
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Credential | CERTIFIED CAREGIVER
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Telephone | 574-520-3226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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