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General NPI Number Information
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NPI Number | 1508376450
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Entity Type | Organization
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Legal Business Name | APEX HEALTH WELLINGTON LLC
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR STE 7600
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3419
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Country | US
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Telephone | 561-655-6334
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Fax | 561-892-6334
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Provider Business Mailing Address
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Address Line | 625 TAMIAMI TRL N STE 201
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-784-2214
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Fax | 239-790-5777
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. JAMES TALANO
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Credential | MHA, FACHE
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Telephone | 239-784-2214
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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 | ME125307
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License Number State | FL
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