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General NPI Number Information
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NPI Number | 1043188378
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Entity Type | Organization
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Legal Business Name | SUMMIT MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 351 CENTRE VIEW BLVD
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3477
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Country | US
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Telephone | 859-212-0175
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Fax | 859-331-0325
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-344-5555
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Fax | 859-344-5552
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Authorized Official
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Title or Position | AVP - REVENUE CYCLE
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Name | MARIA RANKIN
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Credential |
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Telephone | 859-344-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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