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General NPI Number Information
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NPI Number | 1295543668
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Entity Type | Organization
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Legal Business Name | APEX RECOVERY LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2324 UNIVERSITY AVE W STE 114
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City | SAINT PAUL
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State | MN
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Zip | 55114-1854
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Country | US
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Telephone | 612-269-6544
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Fax |
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Provider Business Mailing Address
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Address Line | 5862 BURKE TRL
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-1583
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Country | US
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Telephone | 612-269-6544
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JOSHUA HAREIN
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Credential |
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Telephone | 612-269-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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