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General NPI Number Information
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NPI Number | 1306077136
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Entity Type | Organization
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Legal Business Name | PREMIER PSYCHIATRY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 3461 MARKET ST SUITE 102
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City | CAMP HILL
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State | PA
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Zip | 17011-4412
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Country | US
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Telephone | 717-695-7825
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Fax | 717-695-7843
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Provider Business Mailing Address
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Address Line | 3461 MARKET ST SUITE 102
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City | CAMP HILL
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State | PA
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Zip | 17011-4412
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Country | US
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Telephone | 717-695-7825
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Fax | 717-695-7843
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | BENYAM G TEGENE
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Credential | M.D.
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Telephone | 717-695-7825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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