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General NPI Number Information
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NPI Number | 1437546728
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Entity Type | Individual
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Provider Name | ADAM JON SUMMERS MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 3615 19TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410
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Country | US
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Telephone | 806-725-2233
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Fax | 806-725-0053
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Provider Business Mailing Address
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Address Line | 2215 NASHVILLE AVE
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City | LUBBOCK
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State | TX
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Zip | 79410-1105
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Country | US
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Telephone | 806-725-5844
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Fax | 806-723-6532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 31517
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R6916
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License Number State | TX
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