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General NPI Number Information
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NPI Number | 1679980007
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Entity Type | Organization
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Legal Business Name | SUMMIT NATIONAL DME LLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 7819 E GREENWAY RD SUITE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1623
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Country | US
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Telephone | 480-699-3649
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Fax | 866-840-3323
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Provider Business Mailing Address
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Address Line | 7819 E GREENWAY RD SUITE 6
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-1623
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Country | US
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Telephone | 480-699-3649
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Fax | 866-840-3323
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Authorized Official
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Title or Position | MEMBER
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Name | 6773 HOLDINGS
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Credential |
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Telephone | 480-699-3649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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