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General NPI Number Information
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NPI Number | 1134199839
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTHCARE ASSOCIATION
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2500 E HUNT DR
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City | SHOW LOW
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State | AZ
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Zip | 85901-7954
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Country | US
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Telephone | 928-537-6900
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Fax | 928-537-8839
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Provider Business Mailing Address
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Address Line | 2200 E SHOW LOW LAKE RD
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City | SHOW LOW
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State | AZ
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Zip | 85901-7881
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Country | US
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Telephone | 928-537-4375
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Fax | 928-537-8839
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Authorized Official
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Title or Position | CFO
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Name | MR. DAVID ROTHENBERGER
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Credential |
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Telephone | 928-537-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA0032
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License Number State | AZ
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