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General NPI Number Information
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NPI Number | 1659422509
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Entity Type | Organization
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Legal Business Name | SUMMIT ORTHOPEDICS, LTD.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 7115 TAMARACK RD STE 250
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City | WOODBURY
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State | MN
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Zip | 55125-1209
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Country | US
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Telephone | 651-968-5479
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Fax | 651-968-5491
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Provider Business Mailing Address
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Address Line | 710 COMMERCE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-4925
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Country | US
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Telephone | 651-968-5042
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Fax | 651-968-5904
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Authorized Official
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Title or Position | CFO
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Name | JOHN BIEN
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Credential |
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Telephone | 651-968-5870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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