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General NPI Number Information
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NPI Number | 1306702006
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Entity Type | Organization
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Legal Business Name | PREMIER SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 12/27/2025
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 515 HIGHLAND AVE
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City | TOLEDO
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State | OH
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Zip | 43610-1141
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Country | US
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Telephone | 567-801-8357
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Fax |
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Provider Business Mailing Address
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Address Line | 22894 SHERRY DR
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City | FLAT ROCK
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State | MI
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Zip | 48134-9064
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Country | US
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Telephone | 313-409-4776
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BAHAA MOHAMMAD
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Credential |
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Telephone | 313-409-4776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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