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General NPI Number Information
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NPI Number | 1689615148
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Entity Type | Organization
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Legal Business Name | SUMMA PHYSICIANS LLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 55 ARCH ST SUITE 3A
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City | AKRON
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State | OH
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Zip | 44304-1423
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Country | US
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Telephone | 330-375-3584
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Fax | 234-312-2326
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Provider Business Mailing Address
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Address Line | 1077 GORGE BLVD
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City | AKRON
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State | OH
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Zip | 44310-2408
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Country | US
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Telephone | 234-312-5873
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Fax |
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Authorized Official
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Title or Position | MANAGER, PAYER ENROLLMENT
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Name | WENDY CARSON
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Credential |
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Telephone | 234-312-5691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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