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NPI 1073701926

NPI 1073701926 : APEX GENERAL CONSTRUCTION : WESLACO, TX

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General NPI Number Information
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    NPI Number           |    1073701926
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    Entity Type          |    Organization 
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    Legal Business Name  |    APEX GENERAL CONSTRUCTION 
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Dates
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    Enumeration Date     |    10/04/2007
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    Last Update Date     |    07/09/2009
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Provider Practice Location Address
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    Address Line         |    316 W. ZACATECAS 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596
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    Country              |    US
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    Telephone            |    956-878-5014
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    Fax                  |    856-351-5262
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Provider Business Mailing Address
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    Address Line         |    316 W. ZACATECAS 
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    City                 |    WESLACO
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    State                |    TX
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    Zip                  |    78596
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    Country              |    US
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    Telephone            |    956-878-5014
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    Fax                  |    856-351-5262
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Authorized Official
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    Title or Position    |    OWNER/CONTRACTOR
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    Name                 |    MR. DOMINGO J GONZALEZ 
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    Credential           |    
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    Telephone            |    956-878-5014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171WH0202X
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    Taxonomy Name        |    Home Modifications Contractor
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    License Number       |    
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    License Number State |    
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