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General NPI Number Information
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NPI Number | 1487575239
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Entity Type | Organization
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Legal Business Name | SUMMIT NEUROLOGY PLLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 1322 NW JOHN JONES DR
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City | BURLESON
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State | TX
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Zip | 76028-8040
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Country | US
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Telephone | 408-419-1166
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Fax | 833-468-5061
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Provider Business Mailing Address
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Address Line | 1322 NW JOHN JONES DR
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City | BURLESON
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State | TX
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Zip | 76028-8040
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Country | US
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Telephone | 408-419-1166
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Fax | 833-468-5061
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | ANUSHA MANNAVA
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Credential | MD
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Telephone | 408-419-1166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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