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General NPI Number Information
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NPI Number | 1811083405
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Entity Type | Organization
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Legal Business Name | SOMASHEKAR PALLEGAR M D P L
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 1811 BAYSHORE GARDENS PARKWAY
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City | BRADENTON
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State | FL
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Zip | 34207
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Country | US
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Telephone | 941-755-9550
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Fax | 941-755-8520
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Provider Business Mailing Address
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Address Line | 1811 BAYSHORE GARDENS PARKWAY
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City | BRADENTON
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State | FL
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Zip | 34207
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Country | US
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Telephone | 941-755-9550
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Fax | 941-755-8520
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. MARIE MILLER
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Credential |
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Telephone | 941-755-9550
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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 | ME0076940
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License Number State | FL
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