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General NPI Number Information
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NPI Number | 1578439550
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Entity Type | Organization
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Legal Business Name | ASTIA HEALTH CLINICAL SERVICES, SC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 6303 SCHOFIELD AVE
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City | WESTON
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State | WI
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Zip | 54476-4352
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Country | US
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Telephone | 715-393-4092
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | MARATHON
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State | WI
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Zip | 54448-0066
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Country | US
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Telephone | 715-317-5846
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & MEDICAL DIRECTOR
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Name | ALEXANDER L SOMMERS
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Credential | MD
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Telephone | 715-317-5846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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