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General NPI Number Information
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NPI Number | 1356535702
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Entity Type | Organization
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Legal Business Name | SUMMIT FOOT AND ANKLE, LLC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 10103 RIDGEGATE PKWY SUITE 345
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City | LONE TREE
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State | CO
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Zip | 80124-5520
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Country | US
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Telephone | 303-470-0242
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Fax | 303-484-3085
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Provider Business Mailing Address
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Address Line | 10103 RIDGEGATE PKWY SUITE 345
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City | LONE TREE
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State | CO
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Zip | 80124-5520
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Country | US
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Telephone | 303-470-0242
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Fax | 303-484-3085
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. CAMERON JOSEPH FIELD
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Credential | D.P.M.
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Telephone | 303-470-0242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 671
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License Number State | CO
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