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General NPI Number Information
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NPI Number | 1134015910
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Entity Type | Individual
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Provider Name | COURTNEY DAVIS SOMMERS LLC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 359 LIVERNOIS ST
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City | FERNDALE
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State | MI
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Zip | 48220-2301
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Country | US
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Telephone | 248-805-1858
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Fax |
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Provider Business Mailing Address
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Address Line | 517 JACOB WAY APT 203
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City | ROCHESTER
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State | MI
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Zip | 48307-2299
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Country | US
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Telephone | 331-625-2457
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451024314
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License Number State | MI
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