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General NPI Number Information
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NPI Number | 1447281092
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 3824 NORTHERN PIKE SUITE 700
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City | MONROEVILLE
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State | PA
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Zip | 15146-2141
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Country | US
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Telephone | 412-457-0060
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Fax | 412-457-0067
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Provider Business Mailing Address
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Address Line | 3824 NORTHERN PIKE SUITE 700
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City | MONROEVILLE
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State | PA
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Zip | 15146-2141
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Country | US
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Telephone | 412-457-0060
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Fax | 412-457-0067
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK DERUBEIS
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Credential |
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Telephone | 412-457-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | PA
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Taxonomy #12
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State | PA
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Taxonomy #13
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | PA
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Taxonomy #14
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | PA
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Taxonomy #15
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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