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General NPI Number Information
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NPI Number | 1134468416
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Entity Type | Organization
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Legal Business Name | PREMIER RECOVERY AND REHAB ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 9537 PERRY HIGHWAY SUITE 103
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City | PITTSBURGH
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State | PA
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Zip | 15237
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Country | US
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Telephone | 412-837-1426
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Fax |
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Provider Business Mailing Address
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Address Line | 9576 PERRY HIGHWAY SUITE 103
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City | PITTSBURGH
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State | PA
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Zip | 15237
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Country | US
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Telephone | 412-836-1426
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. HARI K VEMULAPALLI
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Credential | M.D.
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Telephone | 724-837-1426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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