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General NPI Number Information
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NPI Number | 1063171627
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Entity Type | Organization
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Legal Business Name | APEX ENDOCRINOLOGY DIABETES & METABOLISM CLINIC NORTHWESTERN OH
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 920 W MARKET ST STE 330
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City | LIMA
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State | OH
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Zip | 45805-2777
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Country | US
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Telephone | 567-940-5300
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Fax | 567-289-5640
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Provider Business Mailing Address
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Address Line | 119 STILLMEADOW DRIVE
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City | CINCINNATI
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State | OH
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Zip | 45245
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Country | US
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Telephone | 419-296-5948
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIMMY D ALELE
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Credential | MD
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Telephone | 419-296-5948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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