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General NPI Number Information
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NPI Number | 1487564233
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGICAL LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 8200 W CENTRAL AVE STE 1
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City | WICHITA
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State | KS
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Zip | 67212-3661
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Country | US
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Telephone | 316-721-4910
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Fax | 316-721-8307
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Provider Business Mailing Address
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Address Line | 1818 E 23RD AVE
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City | HUTCHINSON
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State | KS
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Zip | 67502-1106
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Country | US
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Telephone | 620-662-6000
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Fax | 620-663-4803
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Authorized Official
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Title or Position | REV CYCLE DIRECTOR
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Name | NICOLE HERRERA
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Credential |
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Telephone | 620-662-1907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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