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General NPI Number Information
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NPI Number | 1043236565
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Entity Type | Organization
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Legal Business Name | THOMAS E. CARSON, M.D., P.A.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 1259 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3719
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Country | US
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Telephone | 727-938-1908
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Fax | 727-938-8693
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Provider Business Mailing Address
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Address Line | 1259 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3719
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Country | US
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Telephone | 727-938-1908
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Fax | 727-938-8693
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. THOMAS EDWARD CARSON
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Credential | M.D.
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Telephone | 727-938-1908
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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 | OS9655
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME108731
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME110547
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9105368
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP1658442
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP3391502
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3391502
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME36578
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License Number State | FL
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