Hi Bryan,
The 5680s are a royal PITA. There are many different versions with many different options. Some have 1 PPS or 10 MHz or both. Some are programmable, some aren't. Some require 15V, some also need 5V. Some have EFC, some don't.
If a particular unit is advertised as programmable, it is possible to change the frequency to 10 MHz, but it requires a little hardware hacking. The ones that output only 1 PPS take a frequency of 8.288608 MHz and put it through a fixed divider to get 1 PPS. You can reprogram that frequency so that it puts out 10 MHz. Of course, that blows the 1 PPS way off frequency. I have one that works like that. You then have to bring the 10 MHz signal out via a coax. Start googling. There's lots of info out there where people have done similar hacks.
Ed
P.S. There's a couple of Trimble Thunderbolt up for sale on ebay that have a red label. Don't buy them! The red label units don't perform nearly as well as the plain units. Apparently the plain units were built with a better quality oscillator to meet the requirements of cellular carriers. The red label units also tend to be much pricier than the plain ones.