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General NPI Number Information
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NPI Number | 1710806302
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Entity Type | Organization
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Legal Business Name | COMMERS MEDICAL ASSOCIATES, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 3500 S DUPONT HWY
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City | DOVER
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State | DE
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Zip | 19901-6041
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Country | US
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Telephone | 402-740-9842
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 363
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City | EDMONDS
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State | WA
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Zip | 98020-0363
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Country | US
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Telephone | 402-740-9842
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | TESSA COMMERS
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Credential | MD
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Telephone | 402-740-9842
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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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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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