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General NPI Number Information
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NPI Number | 1144989773
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH PARTNERS PLLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 1450 NORTHWEST BLVD STE 104
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City | COEUR D ALENE
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State | ID
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Zip | 83814-5605
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Country | US
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Telephone | 325-780-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 3255 SWIFT WATER LN
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City | COEUR D ALENE
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State | ID
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Zip | 83814-7423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. CRAIG BURNS
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Credential | MD
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Telephone | 425-780-3447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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