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General NPI Number Information
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NPI Number | 1134633761
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH URGENT CARE, INC.
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 6700 COMMERCE CENTER DR
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City | DAYTON
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State | OH
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Zip | 45414-2672
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Country | US
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Telephone | 937-208-6875
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Fax | 937-208-6878
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BUILDING B 3RD FLOOR
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City | MORAINE
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State | OH
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Zip | 45439
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Country | US
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Telephone | 937-991-3188
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Fax | 937-223-9811
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Authorized Official
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Title or Position | SYSTEMS SUPPORT ANALYST
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Name | DARLENE F MICHEL
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Credential |
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Telephone | 937-499-6758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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