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General NPI Number Information
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NPI Number | 1164367678
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Entity Type | Organization
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Legal Business Name | SUMMIT SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 420 BRISK DR
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City | ZEBULON
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State | NC
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Zip | 27597-5534
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Country | US
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Telephone | 919-921-1427
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Fax | 919-324-3017
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Provider Business Mailing Address
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Address Line | 420 BRISK DR
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City | ZEBULON
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State | NC
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Zip | 27597-5534
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Country | US
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Telephone | 919-921-1427
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Fax | 919-324-3017
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Authorized Official
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Title or Position | OWNER
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Name | DEJOHN HOCUTT
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Credential |
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Telephone | 919-921-1427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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