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General NPI Number Information
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NPI Number | 1295280048
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Entity Type | Organization
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Legal Business Name | APEX RECOVERY SCIENCES
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 30453 GROVELAND ST
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-2113
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Country | US
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Telephone | 810-348-9519
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Fax | 810-629-9963
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Provider Business Mailing Address
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Address Line | 30453 GROVELAND ST
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-2113
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Country | US
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Telephone | 810-348-9519
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Fax | 810-629-9963
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ZACH M FAZIO
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Credential |
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Telephone | 810-516-8318
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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 | 5306004699
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License Number State | MI
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