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General NPI Number Information
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NPI Number | 1548189392
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH CLINIC INC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 2521 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91505-2368
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Country | US
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Telephone | 747-285-5551
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Fax | 747-285-5553
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Provider Business Mailing Address
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Address Line | 2521 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91505-2368
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Country | US
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Telephone | 747-285-5551
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Fax | 747-285-5553
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILY FARIAS
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Credential | MD
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Telephone | 747-285-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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