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General NPI Number Information
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NPI Number | 1639033962
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGICAL ASSIST LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3929 E BELL RD
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City | PHOENIX
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State | AZ
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Zip | 85032-2112
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Country | US
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Telephone | 623-320-0660
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Fax | 623-320-0670
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Provider Business Mailing Address
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Address Line | 1902 W UNION HILLS DR # 41340
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City | PHOENIX
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State | AZ
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Zip | 85027-5984
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Country | US
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Telephone | 480-773-1803
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Fax | 623-320-0670
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Authorized Official
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Title or Position | COO
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Name | BRETT MCLAUGHLIN
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Credential |
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Telephone | 480-773-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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