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General NPI Number Information
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NPI Number | 1073410619
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Entity Type | Individual
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Provider Name | TIMOTHY CARTER LMT
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Gender | Male
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Dates
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Enumeration Date | 10/26/2026
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Last Update Date | 10/26/2026
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Provider Practice Location Address
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Address Line | 3854 E 120TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-1608
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Country | US
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Telephone | 720-388-0439
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 N PEARL ST APT 11
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City | DENVER
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State | CO
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Zip | 80203-4618
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Country | US
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Telephone | 720-717-0341
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0028039
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License Number State | CO
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