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General NPI Number Information
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NPI Number | 1396928883
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Entity Type | Organization
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Legal Business Name | PREMIER PHYSICIANS CENTERS, INC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 25200 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-4141
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Country | US
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Telephone | 440-895-5057
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Fax | 440-895-5050
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Provider Business Mailing Address
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Address Line | 24500 CENTER RIDGE RD STE 375
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City | WESTLAKE
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State | OH
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Zip | 44145-5631
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Country | US
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Telephone | 440-895-5057
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Fax | 440-895-5050
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Authorized Official
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Title or Position | CFO
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Name | MR. DICK FINTZ
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Credential |
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Telephone | 440-895-5056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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