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General NPI Number Information
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NPI Number | 1871555698
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Entity Type | Organization
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Legal Business Name | APEX PHYSSICAL THERAPY
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6320 W UNION HILLS DR SUITE 265
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City | GLENDALE
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State | AZ
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Zip | 85308-1096
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Country | US
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Telephone | 623-374-2424
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Fax | 623-374-2619
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Provider Business Mailing Address
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Address Line | 6320 W UNION HILLS DR SUITE 265
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City | GLENDALE
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State | AZ
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Zip | 85308-1096
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Country | US
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Telephone | 623-374-2424
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Fax | 623-374-2619
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD JAMES LIHVARCHIK
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Credential | PT
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Telephone | 623-374-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5510
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5210
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License Number State | AZ
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