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General NPI Number Information
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NPI Number | 1700663200
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Entity Type | Individual
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Provider Name | SOMER L BAREMAN NP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 6401 PRAIRIE ST STE 2100
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City | NORTON SHORES
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State | MI
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Zip | 49444-7842
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Country | US
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Telephone | 231-672-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 9350 PIER PL
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City | WEST OLIVE
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State | MI
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Zip | 49460-8428
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Country | US
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Telephone | 616-403-1665
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704280257NSA2204K
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License Number State | MI
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