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General NPI Number Information
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NPI Number | 1689971822
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL, INC.
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Dates
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Enumeration Date | 02/24/2011
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 6000A PELHAM RD
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City | GREENVILLE
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State | SC
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Zip | 29616
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Country | US
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Telephone | 877-335-2455
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Fax | 877-889-9157
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Provider Business Mailing Address
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Address Line | PO BOX 26897
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City | GREENVILLE
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State | SC
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Zip | 29616-1897
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Country | US
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Telephone | 864-679-2957
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Fax | 800-207-7401
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN SCOTT MURDOCK
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Credential |
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Telephone | 877-335-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 20928
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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