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General NPI Number Information
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NPI Number | 1285576934
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Entity Type | Organization
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Legal Business Name | PREMIER HEMATOLOGY & ONCOLOGY PLLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 24513 FORD RD
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City | DEARBORN
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State | MI
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Zip | 48128-1131
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Country | US
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Telephone | 313-791-7992
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Fax | 313-406-2961
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Provider Business Mailing Address
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Address Line | 24513 FORD RD
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City | DEARBORN
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State | MI
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Zip | 48128-1131
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Country | US
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Telephone | 313-791-7992
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Fax | 313-406-2961
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Authorized Official
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Title or Position | CREDENTIALING/BILLING MANAGER
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Name | RACHELLE WILLIAMS
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Credential |
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Telephone | 734-245-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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