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General NPI Number Information
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NPI Number | 1841814787
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Entity Type | Organization
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Legal Business Name | SUMMIT ANESTHESIA SOLUTIONS PLLC
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 3929 E BELL RD
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City | PHOENIX
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State | AZ
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Zip | 85032-2112
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Country | US
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Telephone | 602-923-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3724 W ASHTON CT
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City | ANTHEM
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State | AZ
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Zip | 85086-2761
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Country | US
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Telephone | 516-317-6887
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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 | ADAM KUZMIAK
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Credential | CRNA
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Telephone | 480-773-1803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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