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NPI 1770039901

NPI 1770039901 : STEPHANIE SOMMER ARNP : DEERFIELD BEACH, FL

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General NPI Number Information
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    NPI Number           |    1770039901
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE SOMMER ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2016
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    Last Update Date     |    01/05/2017
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Provider Practice Location Address
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    Address Line         |    1899 W HILLSBORO BLVD 
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    City                 |    DEERFIELD BEACH
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    State                |    FL
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    Zip                  |    33442-1401
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    Country              |    US
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    Telephone            |    954-725-7291
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    Fax                  |    954-725-7554
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Provider Business Mailing Address
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    Address Line         |    2418 NW 30TH ROAD 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431
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    Country              |    US
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    Telephone            |    561-827-5815
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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       |    ARNP9219342
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    License Number State |    FL
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