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General NPI Number Information
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NPI Number | 1164951257
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 888-880-3202
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Fax | 833-450-0937
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Provider Business Mailing Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 888-880-3202
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Fax | 833-450-0937
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PALLAVI GOWDA
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Credential | DO
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Telephone | 301-309-0940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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