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General NPI Number Information
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NPI Number | 1750988176
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Entity Type | Organization
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Legal Business Name | SOMA MEDICAL CENTER, PA
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1402 ROYAL PALM BEACH BLVD BLDG 100
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1691
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Country | US
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Telephone | 561-629-7897
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Fax | 561-323-4033
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Provider Business Mailing Address
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Address Line | 3255 FOREST HILL BLVD STE 103
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5854
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Country | US
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Telephone | 561-275-7110
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Fax | 561-275-7130
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ANDRES FLOREZ
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Credential |
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Telephone | 561-275-7110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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