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General NPI Number Information
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NPI Number | 1184200081
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Entity Type | Organization
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Legal Business Name | PREMIER INTERVENTIONAL PAIN SPECIALISTS
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 7450 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55435-4787
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Country | US
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Telephone | 612-353-4238
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Fax | 754-212-0473
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Provider Business Mailing Address
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Address Line | 7450 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55435-4787
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Country | US
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Telephone |
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Fax | 754-212-0473
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Authorized Official
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Title or Position | OWNER
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Name | LOUIS SAEGER
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Credential | MD
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Telephone | 612-353-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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