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General NPI Number Information
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NPI Number | 1689915191
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Entity Type | Organization
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Legal Business Name | PREMIER PSYCHIATRIC SERVICES, PLLC
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 106 OSTERVILLE DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7525
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Country | US
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Telephone | 919-267-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 106 OSTERVILLE DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7525
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Country | US
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Telephone | 919-267-9292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMER QURESHI
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Credential | M.D.
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Telephone | 919-267-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2006-01486
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 2006-01486
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License Number State | NC
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