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General NPI Number Information
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NPI Number | 1700273745
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Entity Type | Organization
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Legal Business Name | APOGEE MEDICAL GROUP
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 3917 WEST RD
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2275
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Country | US
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Telephone | 505-661-9279
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Fax |
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Provider Business Mailing Address
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Address Line | 3917 WEST RD
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2275
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Country | US
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Telephone | 505-661-9279
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | BREANNA JOLENE LUJAN
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Credential |
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Telephone | 505-661-9279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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