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General NPI Number Information
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NPI Number | 1356985600
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Entity Type | Organization
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Legal Business Name | SUMMIT HOSPITALIST GROUP LLC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 214 E 23RD ST
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City | CHEYENNE
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State | WY
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Zip | 82001-3748
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Country | US
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Telephone | 877-485-4474
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 649315
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City | DALLAS
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State | TX
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Zip | 75264-9315
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Country | US
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Telephone | 877-485-4474
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUSSELL LAUVER
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Credential | MD
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Telephone | 877-485-4474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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