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General NPI Number Information
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NPI Number | 1871834739
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICINE PC
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 1701 W RITNER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145
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Country | US
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Telephone | 215-336-2145
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Fax | 215-336-5732
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Provider Business Mailing Address
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Address Line | 1701 W RITNER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-4324
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Country | US
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Telephone | 215-336-2145
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Fax | 215-336-5732
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL J ATTANASIO
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Credential | D.O
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Telephone | 215-336-2145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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