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General NPI Number Information
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NPI Number | 1508026725
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Entity Type | Organization
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Legal Business Name | MICHAEL S SOMERO MD - A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1330 N INDIAN CANYON DR SUITE H
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4880
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Country | US
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Telephone | 760-322-8888
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Fax | 760-322-7710
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Provider Business Mailing Address
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Address Line | 1330 N INDIAN CANYON DR SUITE H
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4880
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Country | US
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Telephone | 760-322-8888
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Fax | 760-322-7710
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MICHAEL STEPHEN SOMERO
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Credential | M.D.
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Telephone | 760-322-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G77068
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License Number State | CA
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