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General NPI Number Information
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NPI Number | 1992504393
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Entity Type | Organization
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Legal Business Name | SUMMIT DME INC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 201 W DYER RD STE C
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City | SANTA ANA
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State | CA
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Zip | 92707-3426
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Country | US
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Telephone | 714-462-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W DYER RD STE C
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City | SANTA ANA
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State | CA
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Zip | 92707-3426
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Country | US
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Telephone | 714-462-5588
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MONT MITTLEMAN
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Credential |
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Telephone | 949-735-0216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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