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General NPI Number Information
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NPI Number | 1356574560
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Entity Type | Organization
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Legal Business Name | SUMMIT MEDICAL CENTER
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 1800 S. RENAISSANCE BLVD.
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City | EDMOND
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State | OK
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Zip | 73013-3023
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Country | US
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Telephone | 405-359-2400
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Fax | 405-359-9186
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Provider Business Mailing Address
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Address Line | P.O. BOX 269083
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126
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Country | US
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Telephone | 405-359-2400
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Fax | 405-359-9186
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MR. DOUGLAS G. BAKER
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Credential |
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Telephone | 405-359-2460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | OK
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