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General NPI Number Information
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NPI Number | 1649720483
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Entity Type | Organization
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Legal Business Name | SUMMIT PHARMACY & SURGICAL SUPPLY LLC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 930 SUMMIT AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-7918
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Country | US
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Telephone | 336-455-1263
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Fax |
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Provider Business Mailing Address
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Address Line | 930 SUMMIT AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-7918
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Country | US
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Telephone | 336-455-1263
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | VISHAL PATEL
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Credential |
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Telephone | 336-763-7282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 13078
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License Number State | NC
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