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General NPI Number Information
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NPI Number | 1386061364
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Entity Type | Organization
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Legal Business Name | APEX PEDIATRICS, INC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 399 E HIGHLAND AVE SUITE 329
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3808
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Country | US
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Telephone | 909-886-1001
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Fax | 909-886-1107
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Provider Business Mailing Address
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Address Line | 399 E HIGHLAND AVE SUITE 329
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3808
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Country | US
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Telephone | 909-886-1001
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Fax | 909-886-1107
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. REBECCA L STALLINGS
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Credential |
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Telephone | 909-886-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0200X
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Taxonomy Name | Pediatric Clinical Nurse Specialist
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License Number | 0821290
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License Number State | CA
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