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General NPI Number Information
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NPI Number | 1023002250
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Entity Type | Individual
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Provider Name | ADRIAN L CARTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 802 E OAK ST
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City | FORT BRANCH
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State | IN
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Zip | 47648-1666
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Country | US
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Telephone | 812-753-3942
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Fax | 812-768-6283
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | EVANSVILLE
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State | IN
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Zip | 47706-1510
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Country | US
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Telephone | 812-753-3942
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Fax | 812-768-6283
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02002691A
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License Number State | IN
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