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General NPI Number Information
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NPI Number | 1679458699
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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 | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 6050 SYCAMORE LN N STE 200
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City | PLYMOUTH
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State | MN
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Zip | 55442-1402
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Country | US
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Telephone | 651-968-5200
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Fax |
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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 | 651-968-5200
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Fax |
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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