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General NPI Number Information
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NPI Number | 1902022767
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Entity Type | Organization
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Legal Business Name | JOANN SOMERS M.D. P.A.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS RD SUITE 204
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-533-0638
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Fax |
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Provider Business Mailing Address
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Address Line | 22 OLD SHORT HILLS RD SUITE 204
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5604
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Country | US
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Telephone | 973-533-0638
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Fax |
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Authorized Official
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Title or Position | OBGYN
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Name | JOANN SOMERS
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Credential | M.D.
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Telephone | 973-533-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA48266
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License Number State | NJ
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