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General NPI Number Information
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NPI Number | 1811782030
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Entity Type | Organization
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Legal Business Name | PREMIER ACUTE CARE SERVICES PRIMARY CARE, LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 3481 N BEAUREGARD ST STE B
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1341
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Country | US
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Telephone | 571-290-3614
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Fax |
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Provider Business Mailing Address
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Address Line | 3481 N BEAUREGARD ST
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1341
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Country | US
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Telephone | 571-290-3614
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. WALID HAMMAD
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Credential |
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Telephone | 571-290-3614
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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 |
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License Number State |
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