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NPI 1730129404

NPI 1730129404 : ARIF AZIZ SOMJEE MD : ASHLAND, MS

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General NPI Number Information
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    NPI Number           |    1730129404
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    Entity Type          |    Individual 
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    Provider Name        |    ARIF AZIZ SOMJEE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    15921 BOUNDARY DRIVE BOX 92
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    City                 |    ASHLAND
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    State                |    MS
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    Zip                  |    38603
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    Country              |    US
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    Telephone            |    662-224-8951
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    Fax                  |    662-224-6459
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Provider Business Mailing Address
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    Address Line         |    15921 BOUNDARY DRIVE BOX 92
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    City                 |    ASHLAND
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    State                |    MS
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    Zip                  |    38603
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    Country              |    US
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    Telephone            |    662-224-8951
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    Fax                  |    662-224-6459
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    14922
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    License Number State |    MS
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