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General NPI Number Information
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NPI Number | 1013237015
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Entity Type | Organization
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Legal Business Name | PREMIER PHYSICIANS CENTERS INC
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Dates
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Enumeration Date | 06/02/2010
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 25200 CENTER RIDGE RD SUITE 1200
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City | WESTLAKE
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State | OH
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Zip | 44145-4141
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Country | US
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Telephone | 440-331-2060
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Fax | 440-331-3084
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Provider Business Mailing Address
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Address Line | PO BOX 639004
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City | CINCINNATI
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State | OH
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Zip | 45263-9004
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Country | US
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Telephone | 440-895-5010
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Fax | 440-895-5050
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Authorized Official
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Title or Position | CEO
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Name | DR. DICK FINTZ
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Credential | CEO
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Telephone | 440-895-5036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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