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General NPI Number Information
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NPI Number | 1033284872
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Entity Type | Individual
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Provider Name | FREDERICK J SUMMERS MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2401 E STREET NW MMED-QI SA-1
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City | WASHINGTON
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State | DC
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Zip | 20522-0001
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Country | US
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Telephone | 202-663-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 E STREET NW MMED-QI SA-1
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City | WASHINGTON
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State | DC
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Zip | 20522-0001
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Country | US
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Telephone | 202-663-3247
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G27770
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License Number State | CA
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