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General NPI Number Information
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NPI Number | 1144424300
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Entity Type | Individual
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Provider Name | ANNJANETTE SOMMERS PA C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 222 SE 8TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97123-4218
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Country | US
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Telephone | 503-352-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 1163 37TH AVE
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City | FOREST GROVE
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State | OR
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Zip | 97116-5014
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Country | US
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Telephone | 503-329-5949
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | LL14784
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01026
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License Number State | OR
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