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General NPI Number Information
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NPI Number | 1467272823
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 97 ST CLAIR DR
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City | DUNLAP
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State | TN
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Zip | 37327-6063
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Country | US
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Telephone | 423-949-7990
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Fax | 423-949-7999
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Provider Business Mailing Address
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Address Line | 97 ST CLAIR DR
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City | DUNLAP
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State | TN
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Zip | 37327-6063
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Country | US
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Telephone | 423-949-7990
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Fax | 423-949-7999
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Authorized Official
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Title or Position | LLC MEMBER
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Name | KATHLEEN LOYD
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Credential |
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Telephone | 706-266-9831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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