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General NPI Number Information
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NPI Number | 1437414901
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Entity Type | Organization
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Legal Business Name | SOMA WELLNESS
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 9030 MONTGOMERY RD C/O SOMA WELLNESS
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City | CINCINNATI
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State | OH
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Zip | 45242-7741
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Country | US
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Telephone | 513-505-6800
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Fax | 513-297-9429
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Provider Business Mailing Address
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Address Line | 9030 MONTGOMERY RD C/O SOMA WELLNESS
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City | CINCINNATI
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State | OH
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Zip | 45242-7741
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Country | US
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Telephone | 513-505-6800
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Fax | 513-297-9429
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Authorized Official
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Title or Position | OWNER
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Name | JANE E SNYDER
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Credential | RD
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Telephone | 513-505-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 4082
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 7357
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 4913
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 4082
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License Number State | OH
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