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General NPI Number Information
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NPI Number | 1699408534
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH GROUP INC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 35 TURKEY HILL RD STE 105
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City | BELCHERTOWN
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State | MA
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Zip | 01007-9032
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Country | US
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Telephone | 413-323-1115
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Fax | 413-650-5548
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Provider Business Mailing Address
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Address Line | 35 TURKEY HILL RD STE 105
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City | BELCHERTOWN
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State | MA
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Zip | 01007-9032
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Country | US
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Telephone | 413-323-1115
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Fax | 413-650-5548
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Authorized Official
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Title or Position | OWNER/PRESIDEN
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Name | MICHELLE DUBUC
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Credential | PT
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Telephone | 413-427-3476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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