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General NPI Number Information
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NPI Number | 1043287626
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL SERVICES
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE A603
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City | CUMMING
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State | GA
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Zip | 30040-2488
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Country | US
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Telephone | 770-781-4138
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Fax | 770-781-2588
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Provider Business Mailing Address
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Address Line | 327 DAHLONEGA ST STE A603
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City | CUMMING
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State | GA
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Zip | 30040-2488
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Country | US
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Telephone | 770-781-4138
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Fax | 770-781-2588
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. J. DOUGLAS CRAFT
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Credential |
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Telephone | 404-767-6400
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | GA
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