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General NPI Number Information
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NPI Number | 1942445556
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Entity Type | Organization
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Legal Business Name | P. JAMES SOMERS, MS, PA-C, LTD
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 2780 S JONES BLVD SUITE 205
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City | LAS VEGAS
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State | NV
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Zip | 89146-5628
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Country | US
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Telephone | 702-217-8030
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Fax | 702-537-5736
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Provider Business Mailing Address
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Address Line | 3315 E RUSSELL RD SUITE A-4 #410
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City | LAS VEGAS
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State | NV
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Zip | 89120-3459
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Country | US
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Telephone | 702-349-8399
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Fax | 702-537-5736
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES CLARK SOMERS
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Credential | MS, PA-C
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Telephone | 702-349-8399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | PA658
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PA658
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License Number State | NV
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