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General NPI Number Information
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NPI Number | 1427485788
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Entity Type | Organization
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Legal Business Name | APEX COUNSELING, LLC.
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 145 NW CENTRAL PARK PLZ SUITE 113
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2482
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Country | US
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Telephone | 772-333-2199
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Fax | 772-333-2293
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Provider Business Mailing Address
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Address Line | 145 NW CENTRAL PARK PLZ SUITE 113
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-2482
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Country | US
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Telephone | 772-333-2199
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Fax | 772-333-2293
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Authorized Official
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Title or Position | OWNER
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Name | JON MCKENZIE
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Credential |
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Telephone | 910-583-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1956AD873601
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License Number State | FL
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