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General NPI Number Information
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NPI Number | 1538850391
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Entity Type | Organization
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Legal Business Name | APEX PERFORMANCE CLINIC PLLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 13911 RIDGEDALE DR STE 235
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City | MINNETONKA
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State | MN
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Zip | 55305-1716
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Country | US
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Telephone | 763-400-3674
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Fax |
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Provider Business Mailing Address
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Address Line | 13911 RIDGEDALE DR STE 150
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City | MINNETONKA
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State | MN
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Zip | 55305-1707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA KREBSBACH
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Credential | DC, CCSP
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Telephone | 763-400-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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