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General NPI Number Information
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NPI Number | 1689844839
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Entity Type | Individual
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Provider Name | TANYA M SOMMERS ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 315 S MANNING BLVD
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City | ALBANY
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State | NY
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Zip | 12208-1707
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Country | US
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Telephone | 518-525-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 353 RIDGE RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-1506
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Country | US
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Telephone | 518-480-1201
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F304797-1
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License Number State | NY
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