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General NPI Number Information
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NPI Number | 1538718291
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD STE 125
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5995
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Country | US
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Telephone | 480-677-4800
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Fax | 480-677-4806
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Provider Business Mailing Address
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Address Line | PO BOX 1073
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-1822
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Country | US
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Telephone | 480-677-4800
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Fax | 480-677-4806
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRIS M ROBINSON
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Credential | DC
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Telephone | 480-677-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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