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General NPI Number Information
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NPI Number | 1154713055
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Entity Type | Organization
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Legal Business Name | APEX MEDICAL, LLC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 10596 S ELM ST
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City | JENKS
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State | OK
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Zip | 74037-3014
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Country | US
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Telephone | 918-298-0100
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Fax | 918-298-0110
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Provider Business Mailing Address
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Address Line | PO BOX 1148
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City | JENKS
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State | OK
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Zip | 74037-1148
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Country | US
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Telephone | 918-298-0100
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Fax | 918-298-0110
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Authorized Official
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Title or Position | OWNER
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Name | CORY T WOODHAM
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Credential |
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Telephone | 918-271-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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