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General NPI Number Information
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NPI Number | 1831693514
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Entity Type | Organization
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Legal Business Name | SUMMA HEALTH CARE, PC
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 8877 W UNION HILLS DR STE 240
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 623-217-2500
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Fax | 623-218-6553
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Provider Business Mailing Address
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Address Line | 8877 W UNION HILLS DR STE 200
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City | PEORIA
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State | AZ
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Zip | 85382-3016
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Country | US
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Telephone | 623-776-8686
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Fax | 623-776-8687
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | PAUL ANTHONY PANNOZZO
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Credential | MD
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Telephone | 623-776-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | AZ
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