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General NPI Number Information
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NPI Number | 1003510710
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Entity Type | Individual
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Provider Name | SAHAJA MAHATHI CARPENTER MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 3214 E RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4810
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Country | US
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Telephone | 501-380-2280
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Fax |
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Provider Business Mailing Address
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Address Line | 7707 DURER CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-3413
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Country | US
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Telephone | 703-485-5119
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AR
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