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General NPI Number Information
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NPI Number | 1780794941
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL GROUP, INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 344 GAIL AVE NE
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City | MASSILLON
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State | OH
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Zip | 44646-8901
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Country | US
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Telephone | 330-837-4938
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Fax | 330-830-0133
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Provider Business Mailing Address
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Address Line | 344 GAIL AVE NE
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City | MASSILLON
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State | OH
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Zip | 44646-8901
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Country | US
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Telephone | 330-837-4938
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Fax | 330-830-0133
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMMED YASSER AITI
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Credential | M.D.
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Telephone | 330-837-4938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35 037418
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35 048353
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35 048353
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35 037418
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License Number State | OH
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