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General NPI Number Information
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NPI Number | 1043643042
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Entity Type | Organization
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Legal Business Name | APEX REHABILITATION OKC LLC
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 3120 W BRITTON RD STE 205
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2038
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Country | US
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Telephone | 405-655-2939
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 W BRITTON RD STE 205
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2038
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Country | US
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Telephone | 405-655-2939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRETT DAVIN ANDRADA
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Credential | COTA/L
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Telephone | 405-655-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 707
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License Number State | OK
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