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General NPI Number Information
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NPI Number | 1770516809
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Entity Type | Organization
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Legal Business Name | APEX PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 2 SUNSET HILLS PROFESSIONAL CTR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3760
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Country | US
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Telephone | 618-692-4280
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Fax | 618-692-9730
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Provider Business Mailing Address
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Address Line | 15 APEX DR
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City | HIGHLAND
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State | IL
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Zip | 62249-1282
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Country | US
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Telephone | 618-651-0444
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Fax | 618-654-5439
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. BRADLEY R PFITZNER
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Credential | OTR/L
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Telephone | 618-651-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 056000312
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License Number State | IL
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