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General NPI Number Information
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NPI Number | 1235907502
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH SOMOGYI PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 17430 N PORTER RD STE 110
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City | MARICOPA
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State | AZ
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Zip | 85138-4790
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Country | US
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Telephone | 520-208-2033
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Fax |
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Provider Business Mailing Address
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Address Line | 400 HEMLOCK LN
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City | PENN RUN
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State | PA
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Zip | 15765-6345
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Country | US
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Telephone | 724-762-7359
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41159
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1390954
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-033873
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License Number State | AZ
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