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General NPI Number Information
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NPI Number | 1639547771
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTHCARE ORGANIZATION, LLC.
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 09/07/2015
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Provider Practice Location Address
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Address Line | 3001 DOUGLAS BLVD SUITE 225
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City | ROSEVILLE
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State | CA
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Zip | 95661-3851
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Country | US
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Telephone | 888-315-0701
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Fax | 888-966-0442
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Provider Business Mailing Address
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Address Line | 3941 PARK DR SUITE 20-365
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-4549
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Country | US
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Telephone | 888-315-0701
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Fax | 888-966-0442
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LINDSEY L. BLISS
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Credential |
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Telephone | 888-315-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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