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General NPI Number Information
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NPI Number | 1831862499
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Entity Type | Organization
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Legal Business Name | PREMIER COMMUNITY HEALTH
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 580 N ST ROUTE 741 STE 100
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City | LEBANON
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State | OH
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Zip | 45036-6804
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Country | US
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Telephone | 513-974-8420
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Fax | 513-974-8422
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Provider Business Mailing Address
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Address Line | PO BOX 933338
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City | CLEVELAND
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State | OH
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Zip | 44193-0037
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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 | PRESIDENT & CEO
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Name | PAULA THOMPSON
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Credential |
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Telephone | 937-208-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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