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General NPI Number Information
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NPI Number | 1770424749
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Entity Type | Organization
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Legal Business Name | EAGLE-SUMMIT FOOT & ANKLE, P.C.
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 842 SUMMIT BLVD UNIT 15
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City | FRISCO
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State | CO
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Zip | 80443-5882
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Country | US
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Telephone | 970-668-4565
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844342
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City | LOS ANGELES
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State | CA
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Zip | 90084-4342
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN THOMAS MAURER
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Credential |
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Telephone | 970-949-0500
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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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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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