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General NPI Number Information
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NPI Number | 1013774520
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Entity Type | Organization
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Legal Business Name | SILVER SUMMIT MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 5000 COMMERCE DRIVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309
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Country | US
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Telephone | 661-631-4312
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Fax | 661-377-2892
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Provider Business Mailing Address
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Address Line | 548 MARKET ST UNIT 5020
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5401
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Country | US
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Telephone | 661-377-2820
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMESH C GUPTA
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Credential | MD
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Telephone | 661-631-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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