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General NPI Number Information
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NPI Number | 1487081642
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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 | 10/02/2013
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 2116 S WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48186-5428
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Country | US
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Telephone | 734-629-8971
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Fax | 734-895-7047
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Provider Business Mailing Address
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Address Line | 2116 S WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48186-5428
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Country | US
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Telephone | 734-629-8971
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Fax | 734-895-7047
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAHINA ARIF MOTORWALA
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Credential | M.D.
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Telephone | 734-560-4335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4301086219
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License Number State | MI
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