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General NPI Number Information
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NPI Number | 1114831419
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGICAL INSTITUTE LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 2262 E ROSE GARDEN LN
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City | PHOENIX
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State | AZ
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Zip | 85024-4497
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Country | US
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Telephone | 623-320-0660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41340
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City | PHOENIX
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State | AZ
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Zip | 85080-1340
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Country | US
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Telephone | 623-320-0660
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Fax | 623-320-0670
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Authorized Official
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Title or Position | COO
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Name | BRETT MCLAUGHLIN
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Credential |
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Telephone | 480-773-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NULL
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