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General NPI Number Information
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NPI Number | 1962662270
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Entity Type | Organization
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Legal Business Name | PREMIER INTERNAL MEDICINE OF GILES COUNTY, PLLC
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 1119 E COLLEGE ST STE 1
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City | PULASKI
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State | TN
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Zip | 38478-4556
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Country | US
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Telephone | 931-207-8630
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Fax | 931-207-8629
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Provider Business Mailing Address
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Address Line | PO BOX 361 1119 E COLLEGE ST STE 1
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City | PULASKI
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State | TN
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Zip | 38478-4556
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Country | US
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Telephone | 931-207-8630
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Fax | 931-207-8629
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. CLEMENT ALUYI
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Credential | MD
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Telephone | 615-397-3312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 43040
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License Number State | TN
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