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General NPI Number Information
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NPI Number | 1700054061
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 75 ARCH ST STE 404B
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City | AKRON
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State | OH
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Zip | 44304-1433
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Country | US
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Telephone | 330-376-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 75 ARCH ST STE 404B
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City | AKRON
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State | OH
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Zip | 44304-1433
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Country | US
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Telephone | 330-376-7207
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHRISTINE M SAYRE
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Credential |
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Telephone | 330-376-7207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 45457
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License Number State | OH
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