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General NPI Number Information
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NPI Number | 1093090706
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Entity Type | Organization
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Legal Business Name | APEX WELLNESS CENTER
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 455 NW 35TH ST # 102
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City | BOCA RATON
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State | FL
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Zip | 33431-5707
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Country | US
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Telephone | 561-368-6094
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Fax |
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Provider Business Mailing Address
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Address Line | 455 NW 35TH ST # 102
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City | BOCA RATON
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State | FL
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Zip | 33431-5707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK FENELUS
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Credential |
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Telephone | 561-368-6094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | CH 8094
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License Number State | FL
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