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General NPI Number Information
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NPI Number | 1720423098
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Entity Type | Organization
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Legal Business Name | APEX HEALTH, LLC.
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 2260 MAIN STREET
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City | GLASTONBURY
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State | CT
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Zip | 06033
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Country | US
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Telephone | 860-633-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 36 FOX DEN ROAD
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City | GLASTONBURY
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State | CT
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Zip | 06033
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Country | US
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Telephone | 860-633-0282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL MILLS GORDON
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Credential | P.T.
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Telephone | 860-633-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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