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General NPI Number Information
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NPI Number | 1568948347
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Entity Type | Organization
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Legal Business Name | APEX PODIATRY PLLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 109 W 6TH ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-1721
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Country | US
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Telephone | 931-559-3668
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1063
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City | COOKEVILLE
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State | TN
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Zip | 38503-1063
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Country | US
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Telephone | 931-559-3668
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Fax | 931-400-0664
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Authorized Official
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Title or Position | OWNER
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Name | SUMMER WEARY
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Credential | DPM
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Telephone | 931-559-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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