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Organization
AP02 INC
Active
Organization
AP02 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M PAVLICK DDS (PRESEIDENT APO2)
(570) 455-7223
Entity
Organization
Contact information
Practice address
465 E CHESTNUT ST, HAZLETON, PA 18201-6711
(570) 455-7223
(570) 455-7672
Mailing address
PO BOX 237, HAZLETON, PA 18201-0237
(570) 455-7223
(570) 455-7672
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8000001532
PA
Other
Enumeration date
12/05/2005
Last updated
11/17/2011
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