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General NPI Number Information
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NPI Number | 1417482423
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH SOLUTIONS DME INC
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 29484 FORD RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2318
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Country | US
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Telephone | 248-469-4242
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Fax | 248-282-4701
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Provider Business Mailing Address
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Address Line | 29484 FORD RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2318
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Country | US
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Telephone | 248-469-4242
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Fax | 248-282-4701
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Authorized Official
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Title or Position | OWNER
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Name | ENSHAD HAMADEH
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Credential |
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Telephone | 248-469-4241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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