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General NPI Number Information
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NPI Number | 1639576366
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Entity Type | Organization
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Legal Business Name | APEX PHYSICAL MEDICINE, PA
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 8700 US HIGHWAY 380 STE 200
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City | CROSSROADS
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State | TX
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Zip | 76227-2660
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Country | US
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Telephone | 940-365-9400
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Fax | 940-365-9106
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Provider Business Mailing Address
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Address Line | 8700 US HIGHWAY 380 STE 200
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City | CROSSROADS
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State | TX
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Zip | 76227-2660
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Country | US
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Telephone | 940-365-9400
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Fax | 940-365-9106
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JADE MALAY
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Credential | D.C.
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Telephone | 972-378-0383
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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 | BA0534328
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License Number State | TX
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