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General NPI Number Information
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NPI Number | 1235315169
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH SPECIALISTS INC
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 30 E APPLE ST STE 6255
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City | DAYTON
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State | OH
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Zip | 45409-2939
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Country | US
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Telephone | 937-208-2554
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Fax | 937-208-3893
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Provider Business Mailing Address
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Address Line | 30 E APPLE ST STE 6255
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City | DAYTON
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State | OH
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Zip | 45409-2939
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Country | US
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Telephone | 937-208-2554
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Fax | 937-208-3893
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | CHRISTOPHER DANIS
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Credential |
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Telephone | 937-208-2554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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