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General NPI Number Information
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NPI Number | 1811149925
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Entity Type | Organization
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Legal Business Name | SUMMIT FOOT AND ANKLE SPECIALISTS, LLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 10900 N SCOTTSDALE RD SUITE 604
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5216
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Country | US
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Telephone | 480-928-2111
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Fax | 480-383-6042
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Provider Business Mailing Address
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Address Line | 10900 N SCOTTSDALE RD SUITE 604
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5216
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Country | US
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Telephone | 480-928-2111
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. BRUCE R. WERBER
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Credential | DPM
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Telephone | 480-948-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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