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General NPI Number Information
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NPI Number | 1043877079
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Entity Type | Organization
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Legal Business Name | SUMMIT HOSPITALIST INC
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 600 N GARFIELD AVE STE 107
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1168
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Country | US
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Telephone | 626-288-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 506 W VALLEY BLVD STE 300
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City | SAN GABRIEL
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State | CA
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Zip | 91776-5716
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Country | US
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Telephone | 626-940-5483
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Fax |
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Authorized Official
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Title or Position | BUSINESS COORDINATOR
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Name | PEARL TSE
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Credential |
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Telephone | 626-940-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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