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General NPI Number Information
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NPI Number | 1376386490
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Entity Type | Individual
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Provider Name | PAIGE NICOLE SOMERVILLE DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1214 GALLATIN AVE
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City | NASHVILLE
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State | TN
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Zip | 37206-3242
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Country | US
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Telephone | 615-258-8273
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Fax |
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Provider Business Mailing Address
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Address Line | 7872 CENTURY BLVD
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City | CHANHASSEN
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State | MN
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Zip | 55317-8005
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Country | US
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Telephone | 952-512-2470
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Fax | 952-512-2479
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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 | 13693
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License Number State | MN
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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 | 16661
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License Number State | TN
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