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General NPI Number Information
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NPI Number | 1881324481
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Entity Type | Organization
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Legal Business Name | APEX OSN SC LLC
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 175 AMENDMENT AVE STE 101
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City | ROCK HILL
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State | SC
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Zip | 29732-3042
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Country | US
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Telephone | 704-771-1811
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Fax |
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Provider Business Mailing Address
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Address Line | 11650 ALPHARETTA HWY STE 100
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City | ROSWELL
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State | GA
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Zip | 30076-3805
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Country | US
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Telephone | 704-771-1811
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MS. ERIK T BENDIKS
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Credential | MD
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Telephone | 404-644-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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