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General NPI Number Information
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NPI Number | 1770676447
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Entity Type | Organization
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Legal Business Name | SUMMIT SURGERY CENTER LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 434 SOUTH CLARK ST.
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City | BUTTE
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State | MT
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Zip | 59701-2836
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Country | US
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Telephone | 406-496-3550
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Fax | 406-496-3575
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Provider Business Mailing Address
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Address Line | 434 SOUTH CLARK ST.
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City | BUTTE
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State | MT
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Zip | 59701-2836
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Country | US
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Telephone | 406-496-3550
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Fax | 406-496-3575
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. GEORGANN K HAEFFNER
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Credential | R.N.
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Telephone | 406-496-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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