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General NPI Number Information
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NPI Number | 1841507241
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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 | 09/07/2010
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 30 E APPLE ST STE 1480
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City | DAYTON
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State | OH
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Zip | 45409-2939
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Country | US
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Telephone | 937-208-3220
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Fax | 937-208-3633
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Provider Business Mailing Address
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Address Line | 30 E APPLE ST STE 1480
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City | DAYTON
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State | OH
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Zip | 45409-2939
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Country | US
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Telephone | 937-208-3220
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Fax | 937-208-3633
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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 |
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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