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General NPI Number Information
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NPI Number | 1093474850
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Entity Type | Organization
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Legal Business Name | APEC MEDICAL MANAGEMENT LLC
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 15110 DALLAS PKWY STE 300
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City | DALLAS
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State | TX
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Zip | 75248-4609
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Country | US
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Telephone | 800-224-5256
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Fax | 972-619-3894
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Provider Business Mailing Address
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Address Line | PO BOX 1490
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City | ADDISON
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State | TX
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Zip | 75001-1490
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Country | US
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Telephone | 800-224-5256
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Fax | 972-619-3894
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. ROBERT JAMES HUDAK
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Credential |
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Telephone | 972-666-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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