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General NPI Number Information
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NPI Number | 1174621304
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Entity Type | Organization
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Legal Business Name | SOMERS HEALTH CARE, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/02/2008
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Provider Practice Location Address
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Address Line | 2645 W WOODLAND DR
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City | ANAHEIM
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State | CA
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Zip | 92801-2679
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Country | US
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Telephone | 714-527-6883
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Fax | 714-527-6162
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Provider Business Mailing Address
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Address Line | 2645 W WOODLAND DR
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City | ANAHEIM
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State | CA
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Zip | 92801-2679
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Country | US
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Telephone | 714-527-6883
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Fax | 714-527-6162
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN M SOMERS
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Credential | CPA
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Telephone | 714-527-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 97300809
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License Number State | CA
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