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General NPI Number Information
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NPI Number | 1720408727
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Entity Type | Individual
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Provider Name | ASHLEY ALYSSE SOMMERHALDER MD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 19707 W INTERSTATE 10 STE 213
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1748
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Country | US
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Telephone | 210-946-3100
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Fax | 210-946-3100
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Provider Business Mailing Address
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Address Line | 19707 W INTERSTATE 10 STE 213
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1748
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Country | US
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Telephone | 210-946-3100
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Fax | 210-946-3100
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S8920
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.305577
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License Number State | LA
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