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General NPI Number Information
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NPI Number | 1134445992
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Entity Type | Individual
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Provider Name | SUMMER R WEARY D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 109 W 6TH ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-1721
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Country | US
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Telephone | 931-559-3668
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Fax | 931-400-0664
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Provider Business Mailing Address
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Address Line | PO BOX 1063
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City | COOKEVILLE
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State | TN
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Zip | 38503-1063
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Country | US
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Telephone | 931-559-3668
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Fax | 931-400-0664
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.003590
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 726
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License Number State | TN
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