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General NPI Number Information
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NPI Number | 1033634373
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Entity Type | Organization
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Legal Business Name | PREMIER FAMILY MEDICINE ASSOCIATES, INC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 2333 FOOTHILL BLVD STE B
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City | LA VERNE
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State | CA
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Zip | 91750-3027
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Country | US
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Telephone | 909-392-6501
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Fax | 909-469-2136
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Provider Business Mailing Address
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Address Line | 1601 MONTE VISTA AVE STE 260
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City | CLAREMONT
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State | CA
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Zip | 91711-6604
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Country | US
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Telephone | 909-865-9501
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Fax | 909-946-0211
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Authorized Official
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Title or Position | ADMIN COORDINATOR
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Name | TAMARA J WARNER
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Credential |
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Telephone | 909-865-9501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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