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General NPI Number Information
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NPI Number | 1003180456
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Entity Type | Individual
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Provider Name | JENNIFER CARTER M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 304 ADMINISTRATION DRIVE
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City | DENTON
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State | TX
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Zip | 76204
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Country | US
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Telephone | 940-898-2025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425737
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City | DENTON
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State | TX
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Zip | 76204-5737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202006560
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License Number State | VA
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