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General NPI Number Information
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NPI Number | 1679776637
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Entity Type | Organization
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Legal Business Name | SUMMEY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 21ST AVE SUITE 2
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City | LONGMONT
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State | CO
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Zip | 80501-1469
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Country | US
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Telephone | 303-776-2939
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Fax | 303-776-3391
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Provider Business Mailing Address
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Address Line | 421 21ST AVE SUITE 2
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City | LONGMONT
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State | CO
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Zip | 80501-1469
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Country | US
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Telephone | 303-776-2939
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Fax | 303-776-3391
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. STEPHEN R SUMMEY
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Credential | D.C.
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Telephone | 303-776-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1507
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License Number State | CO
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