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General NPI Number Information
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NPI Number | 1376499830
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Entity Type | Individual
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Provider Name | MR. SOMATHEA EA
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Gender | Male
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 2232 S 7TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3271
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Country | US
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Telephone | 215-467-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 44 PENN BLVD
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City | EAST LANSDOWNE
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State | PA
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Zip | 19050-2625
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Country | US
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Telephone |
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP041520L
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License Number State | PA
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