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General NPI Number Information
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NPI Number | 1841658820
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Entity Type | Organization
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Legal Business Name | APEX PERFORMANCE CONSULTING, INC.
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 770 LAKE COOK RD
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City | DEERFIELD
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State | IL
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Zip | 60015-4920
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Country | US
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Telephone | 847-828-1034
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Fax |
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Provider Business Mailing Address
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Address Line | 770 LAKE COOK ROAD #250
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City | DEERFIELD
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State | IL
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Zip | 60015
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Country | US
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Telephone | 847-267-0001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY A. FISHBEIN
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Credential |
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Telephone | 847-828-1034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | 071005190
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License Number State | IL
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