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General NPI Number Information
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NPI Number | 1841662723
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Entity Type | Organization
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Legal Business Name | SOMMER HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 900 OSCEOLA DR STE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5075
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Country | US
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Telephone | 561-331-9431
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Fax | 561-471-8777
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Provider Business Mailing Address
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Address Line | 900 OSCEOLA DR STE 201
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5075
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Country | US
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Telephone | 561-331-9431
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Fax | 561-471-8777
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Authorized Official
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Title or Position | NURSE PRACTITIONER/MANAGER
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Name | MISS ELIZABETH SOMMER
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Credential | ARNP
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Telephone | 561-331-9461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 9190576
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License Number State | FL
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