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General NPI Number Information
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NPI Number | 1306614243
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Entity Type | Organization
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Legal Business Name | PREMIER IMAGING GROUP, LLC
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 6070 GRANT RD
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City | FARWELL
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State | MI
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Zip | 48622-9554
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Country | US
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Telephone | 517-231-2479
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Fax |
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Provider Business Mailing Address
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Address Line | 6070 GRANT RD
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City | FARWELL
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State | MI
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Zip | 48622-9554
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Country | US
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Telephone | 517-231-2479
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON P WENTWORTH
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Credential |
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Telephone | 517-231-2479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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