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General NPI Number Information
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NPI Number | 1376665505
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Entity Type | Organization
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Legal Business Name | PREMIER IMMEDIATE MEDICAL CARE
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1139 BEN FRANKLIN HWY W STE 114
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1853
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Country | US
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Telephone | 610-385-4444
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Fax | 610-385-1002
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Provider Business Mailing Address
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Address Line | 1139 BEN FRANKLIN HWY W STE 114
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1853
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Country | US
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Telephone | 610-385-4444
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Fax | 610-385-1002
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JESSICA KOPPEL
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Credential |
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Telephone | 610-385-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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