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General NPI Number Information
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NPI Number | 1972058105
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH & WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 6851 S HOLLY CIR STE 180
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City | CENTENNIAL
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State | CO
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Zip | 80112-1073
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Country | US
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Telephone | 720-920-9195
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Fax | 720-638-4699
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Provider Business Mailing Address
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Address Line | 6851 S HOLLY CIR STE 180
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City | CENTENNIAL
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State | CO
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Zip | 80112-1073
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Country | US
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Telephone | 720-920-9195
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Fax | 720-638-4699
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Authorized Official
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Title or Position | PRESIDENT
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Name | KE ZANG
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Credential | L.AC.
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Telephone | 720-920-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007216
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU.0002218
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License Number State | CO
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