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General NPI Number Information
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NPI Number | 1710897400
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Entity Type | Organization
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Legal Business Name | SUMMIT IVY INCLUSION LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 2025 BENT CREEK MNR
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City | ALPHARETTA
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State | GA
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Zip | 30005-8712
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Country | US
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Telephone | 206-422-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 BLOSSOM HILL DR
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City | ROSWELL
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State | GA
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Zip | 30076-4237
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Country | US
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Telephone | 770-653-6146
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. AMIT SOOD
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Credential |
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Telephone | 770-653-6146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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