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General NPI Number Information
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NPI Number | 1013185487
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Entity Type | Organization
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Legal Business Name | J. DAN CARTER, M.D., P.A.
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 208 GASLIGHT BLVD
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City | LUFKIN
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State | TX
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Zip | 75904-3166
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Country | US
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Telephone | 936-630-8800
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Fax | 936-630-8875
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Provider Business Mailing Address
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Address Line | 208 GASLIGHT BLVD
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City | LUFKIN
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State | TX
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Zip | 75904-3166
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Country | US
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Telephone | 936-634-8800
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Fax | 936-630-8875
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN DANIEL CARTER
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Credential | M.D.
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Telephone | 936-634-8800
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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 | E2501
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License Number State | TX
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