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General NPI Number Information
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NPI Number | 1700747755
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Entity Type | Organization
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Legal Business Name | APEX REVENUES
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 5701 GASTON AVE APT 16
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City | DALLAS
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State | TX
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Zip | 75214-6405
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Country | US
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Telephone | 512-216-7605
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Fax | 512-216-7605
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Provider Business Mailing Address
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Address Line | 5701 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75214-6431
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Country | US
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Telephone | 512-216-7605
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Fax | 512-216-7605
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Authorized Official
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Title or Position | HEAD
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Name | RATANA LIM
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Credential |
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Telephone | 512-216-7605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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