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General NPI Number Information
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NPI Number | 1639627805
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICLINIC PA
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 801 E NOLANA AVE STE 7
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City | MCALLEN
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State | TX
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Zip | 78504-6113
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Country | US
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Telephone | 956-687-8120
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Fax | 956-686-7793
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Provider Business Mailing Address
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Address Line | 801 E NOLANA AVE STE 7
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City | MCALLEN
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State | TX
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Zip | 78504-6113
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Country | US
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Telephone | 956-687-8120
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Fax | 956-686-7793
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | SHAHID RASHID
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Credential |
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Telephone | 956-687-8120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice 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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA03404
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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