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General NPI Number Information
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NPI Number | 1710126537
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Entity Type | Organization
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Legal Business Name | PREMIER ASSOCIATES FOR THE HEALTHCARE OF WOMEN LLC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 232 S MAIN ST
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City | BELLE GLADE
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State | FL
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Zip | 33430-3426
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Country | US
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Telephone | 561-996-9573
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Fax | 855-808-3992
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Provider Business Mailing Address
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Address Line | 2700 PGA BLVD STE 103
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2958
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Country | US
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Telephone | 561-630-8001
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Fax | 561-630-8007
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUEL TYRONE STOESSEL
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Credential | MD,PA
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Telephone | 561-630-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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