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General NPI Number Information
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NPI Number | 1982835005
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Entity Type | Organization
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Legal Business Name | PREMIER PARTNERS, INC.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 4718 BELFIELD CT
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City | RICHMOND
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State | VA
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Zip | 23237-2127
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Country | US
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Telephone | 804-271-6750
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Fax | 804-271-6751
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Provider Business Mailing Address
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Address Line | 4718 BELFIELD CT
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City | RICHMOND
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State | VA
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Zip | 23237-2127
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Country | US
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Telephone | 804-271-6750
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Fax | 804-271-6751
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID W MATHEWS
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Credential |
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Telephone | 804-271-6750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 2705 047042A
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License Number State | VA
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