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General NPI Number Information
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NPI Number | 1609850239
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Entity Type | Individual
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Provider Name | DEBRA LYNNE SOMERS MD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 9331 OLD BUSTLETON AVE SUITE 203
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City | PHILA
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State | PA
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Zip | 19115-4204
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Country | US
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Telephone | 215-602-8900
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Fax | 215-602-8904
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Provider Business Mailing Address
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Address Line | PO BOX 820933
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City | PHILA
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State | PA
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Zip | 19182-0933
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Country | US
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Telephone | 215-602-8900
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Fax | 215-602-8904
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD045330L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD045330L
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License Number State | PA
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