# AP02 INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790769610
- **Authorized official:** DR. WILLIAM M PAVLICK DDS (PRESEIDENT APO2)
- **Authorized official phone:** (570) 455-7223

## Contact information

- **Practice address:** 465 E CHESTNUT ST, HAZLETON, PA 18201-6711
- **Practice address phone:** (570) 455-7223
- **Practice address fax:** (570) 455-7672
- **Mailing address:** PO BOX 237, HAZLETON, PA 18201-0237
- **Mailing address phone:** (570) 455-7223
- **Mailing address fax:** (570) 455-7672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 8000001532 | PA | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 11/17/2011