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General NPI Number Information
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NPI Number | 1982700795
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Entity Type | Organization
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Legal Business Name | SAN ANGELO SUMMIT ORTHOPEDICS INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3150 APPALOOSA CIRCLE
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City | SAN ANGELO
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State | TX
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Zip | 76901
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Country | US
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Telephone | 325-227-8309
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Fax | 325-227-8313
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Provider Business Mailing Address
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Address Line | 3150 APPALOOSA CIRCLE
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City | SAN ANGELO
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State | TX
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Zip | 76901
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Country | US
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Telephone | 325-227-8309
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Fax | 325-227-8313
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Authorized Official
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Title or Position | PRESIDENT PHYSICIAN
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Name | DR. JAMES R MULL
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Credential | MD
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Telephone | 325-227-8309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | J1468
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA02057
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License Number State | TX
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