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General NPI Number Information
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NPI Number | 1497540371
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Entity Type | Organization
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Legal Business Name | PREPMD RMS LLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 50 BRAINTREE HILL PARK STE 102
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City | BRAINTREE
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State | MA
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Zip | 02184-8741
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Country | US
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Telephone | 888-633-7737
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BRAINTREE HILL PARK STE 102
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City | BRAINTREE
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State | MA
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Zip | 02184-8741
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Country | US
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Telephone | 888-633-7737
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY PHILIP LISI
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Credential |
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Telephone | 313-268-0709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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