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General NPI Number Information
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NPI Number | 1639871841
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Entity Type | Organization
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Legal Business Name | APEX CARE ENTERPRISE LLC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 6928 ORIOLE AVE
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City | LA VERNE
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State | CA
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Zip | 91750-5914
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Country | US
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Telephone | 424-448-7942
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Fax |
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Provider Business Mailing Address
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Address Line | 414 S CORONADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-4802
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Country | US
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Telephone | 424-448-7942
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ROBERTO LUZ
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Credential |
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Telephone | 747-283-9982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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