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General NPI Number Information
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NPI Number | 1598646747
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Entity Type | Organization
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Legal Business Name | CLINIC AT PRIMROSE LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 25855 PRIMROSE RD
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City | SEWARD
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State | AK
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Zip | 99664-9506
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Country | US
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Telephone | 907-288-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 25855 PRIMROSE RD
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City | SEWARD
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State | AK
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Zip | 99664-9506
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Country | US
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Telephone | 907-288-6828
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Fax | 907-206-7216
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CHRISTIE GRIFFIN
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Credential | DNP, FNP-C
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Telephone | 907-288-6828
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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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