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General NPI Number Information
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NPI Number | 1306641550
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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 | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 403 MORROW ST N
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City | MENA
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State | AR
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Zip | 71953-4324
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Country | US
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Telephone | 918-720-4957
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Fax |
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Provider Business Mailing Address
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Address Line | 4312 S RETANA AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74011-1397
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Country | US
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Telephone | 918-720-4957
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. DONALD R BROWN JR.
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Credential |
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Telephone | 918-720-4957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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