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General NPI Number Information
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NPI Number | 1043987209
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Entity Type | Organization
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Legal Business Name | SOMERSET HOLDINGS LLC
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 4030 FM 1463 RD STE 103
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City | KATY
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State | TX
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Zip | 77494-5499
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Country | US
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Telephone | 832-789-1997
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Fax | 832-789-3466
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Provider Business Mailing Address
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Address Line | 7411 STONE ARBOR DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-6381
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Country | US
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Telephone | 713-569-9755
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MINDY PARK
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Credential |
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Telephone | 713-569-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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