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General NPI Number Information
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NPI Number | 1861893851
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Entity Type | Organization
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Legal Business Name | PARTNER FOR HEALTH, LLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 815 WEST AVE
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City | ALAMOSA
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State | CO
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Zip | 81101-3028
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Country | US
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Telephone | 719-480-2541
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Fax | 719-589-0768
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Provider Business Mailing Address
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Address Line | 813 HUNT AVE
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City | ALAMOSA
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State | CO
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Zip | 81101-3236
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Country | US
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Telephone | 719-480-2541
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Fax | 719-589-0768
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ELIZABETH BALDWIN KINNEY
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Credential | M.D.
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Telephone | 719-480-2541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 32767
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License Number State | CO
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