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General NPI Number Information
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NPI Number | 1346021482
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Entity Type | Organization
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Legal Business Name | SUMMIT MEDICAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 354 MCLAWS CIR STE 3
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6346
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Country | US
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Telephone | 757-385-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 354 MCLAWS CIR STE 3
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6346
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Country | US
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Telephone | 757-585-3030
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Fax | 757-733-5285
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Authorized Official
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Title or Position | OWNER
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Name | CHANTZ BURY
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Credential | DNP
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Telephone | 757-585-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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