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General NPI Number Information
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NPI Number | 1912245507
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Entity Type | Organization
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Legal Business Name | KIM A. SOMMER L.L.C.
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 3322 ROUTE 22 SUITE 605
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3476
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Country | US
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Telephone | 908-575-7400
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Fax | 908-575-7401
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Provider Business Mailing Address
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Address Line | 3322 ROUTE 22 SUITE 605
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3476
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Country | US
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Telephone | 908-575-7400
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Fax | 908-575-7401
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | DR. KIM A SOMMER
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Credential | D.C.
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Telephone | 908-575-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00261800
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License Number State | NJ
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