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General NPI Number Information
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NPI Number | 1609893379
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGERY CENTER LP
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 3801 W 15TH ST SUITE 150
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-543-2468
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Fax | 972-543-2465
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Provider Business Mailing Address
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Address Line | PO BOX 678692
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City | DALLAS
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State | TX
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Zip | 75267-8692
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Country | US
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Telephone | 972-758-3595
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Fax | 972-599-9604
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SCOTT HARRIS
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Credential | MD
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Telephone | 972-543-2468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 007810
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License Number State | TX
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