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General NPI Number Information
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NPI Number | 1275684128
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Entity Type | Organization
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Legal Business Name | SUMMIT ORTHOPEDICS, LTD.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 1661 SAINT ANTHONY AVE
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City | SAINT PAUL
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State | MN
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Zip | 55104-7633
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Country | US
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Telephone | 651-968-5300
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Fax | 651-646-0205
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Provider Business Mailing Address
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Address Line | 710 COMMERCE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-4925
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Country | US
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Telephone | 651-968-5042
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Fax | 651-968-5904
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Authorized Official
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Title or Position | CFO
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Name | JOHN BIEN
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Credential |
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Telephone | 651-968-5870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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