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General NPI Number Information
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NPI Number | 1821366501
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH SPECIALISTS INC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 1530 NEEDMORE RD STE 300
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City | DAYTON
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State | OH
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Zip | 45414-3969
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Country | US
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Telephone | 937-277-4274
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Fax | 937-277-8476
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Provider Business Mailing Address
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Address Line | 1530 NEEDMORE RD STE 300
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City | DAYTON
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State | OH
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Zip | 45414-3969
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Country | US
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Telephone | 937-277-4274
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Fax | 937-277-8476
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | CHRISTOPHER DANIS
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Credential | MD, MBA
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Telephone | 937-499-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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