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General NPI Number Information
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NPI Number | 1134205511
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH SYSTEMS, INC
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 4325 DOWNTOWNER LOOP N
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City | MOBILE
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State | AL
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Zip | 36609-5501
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Country | US
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Telephone | 251-460-9095
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Fax | 888-388-5206
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Provider Business Mailing Address
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Address Line | PO BOX 6714
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City | MOBILE
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State | AL
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Zip | 36660-0714
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Country | US
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Telephone | 251-460-9095
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Fax | 888-388-5206
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ILYAS AHMED SHAIKH
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Credential | MD
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Telephone | 251-460-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology 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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20842
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License Number State | AL
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