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General NPI Number Information
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NPI Number | 1992047179
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Entity Type | Organization
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Legal Business Name | PREMIER INTEGRITY SOLUTIONS INC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 660 LAKEWAY DR SUITE B
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4179
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Country | US
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Telephone | 270-866-3762
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Fax | 270-866-3793
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Provider Business Mailing Address
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Address Line | PO BOX 2279
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-2279
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Country | US
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Telephone | 270-866-3762
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Fax | 270-866-3793
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ANGELA S RAGLE
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Credential |
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Telephone | 270-866-3144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 200344
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License Number State | KY
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