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General NPI Number Information
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NPI Number | 1790689800
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Entity Type | Organization
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Legal Business Name | PREMIER PRIMARY CARE CORPORATION
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 2701 NE 14TH STREET CSWY STE 2
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3535
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Country | US
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Telephone | 954-824-1764
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 NE 14TH STREET CSWY STE 2
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3535
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CAMILLE A. MCDONALD-TOUSSAINT
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Credential |
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Telephone | 954-824-1764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State | NULL
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