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General NPI Number Information
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NPI Number | 1104848175
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Entity Type | Individual
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Provider Name | LINETTE HOLBROOK SOMMERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 57 DORA LN
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City | GREENUP
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State | KY
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Zip | 41144-1187
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Country | US
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Telephone | 606-473-7333
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Fax | 606-473-7335
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Provider Business Mailing Address
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Address Line | PO BOX 790
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City | ASHLAND
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State | KY
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Zip | 41105-0790
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Country | US
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Telephone | 606-329-8588
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Fax | 606-329-8195
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3359
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License Number State | KY
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