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General NPI Number Information
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NPI Number | 1669262754
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Entity Type | Organization
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Legal Business Name | SOMERSET PRIMARY CARE LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 382 W MAIN ST
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City | CRISFIELD
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State | MD
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Zip | 21817-1329
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Country | US
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Telephone | 667-868-4027
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Fax | 667-868-4044
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Provider Business Mailing Address
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Address Line | 382 W MAIN ST
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City | CRISFIELD
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State | MD
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Zip | 21817-1329
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Country | US
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Telephone | 667-868-4027
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Fax | 667-868-4044
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD HAFT
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Credential | MF
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Telephone | 301-751-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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