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General NPI Number Information
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NPI Number | 1114341815
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Entity Type | Organization
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Legal Business Name | APEX COUNSELING, LLC
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Dates
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Enumeration Date | 02/15/2014
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Last Update Date | 02/15/2014
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Provider Practice Location Address
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Address Line | 2487 KIMBERLY RD UNIT B
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City | TWIN FALLS
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State | ID
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Zip | 83301-7902
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Country | US
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Telephone | 208-404-2490
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Fax | 208-735-8176
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Provider Business Mailing Address
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Address Line | 2487 KIMBERLY RD UNIT B
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City | TWIN FALLS
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State | ID
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Zip | 83301-7902
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Country | US
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Telephone | 208-404-2490
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Fax | 208-735-8176
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Authorized Official
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Title or Position | OWNER
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Name | MS. GWEN FRASER
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Credential |
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Telephone | 208-404-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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