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General NPI Number Information
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NPI Number | 1225041213
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH INC.
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 27175 HAGGERTY RD
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City | NOVI
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State | MI
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Zip | 48377-3626
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Country | US
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Telephone | 248-799-8303
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Fax | 248-799-8927
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Provider Business Mailing Address
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Address Line | 27175 HAGGERTY RD
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City | NOVI
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State | MI
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Zip | 48377-3626
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Country | US
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Telephone | 248-799-8303
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Fax | 248-799-8927
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD ALDEN PENINGTON
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Credential |
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Telephone | 248-799-8303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | NONE
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License Number State | MI
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