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General NPI Number Information
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NPI Number | 1083755136
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Entity Type | Individual
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Provider Name | MICHAEL CARTER SHEETS RPH
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Gender | Male
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10216 TAYLORSVILLE RD
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City | JEFFERSONTOWN
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State | KY
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Zip | 40299-3616
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Country | US
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Telephone | 502-267-7453
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Fax | 502-267-7455
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Provider Business Mailing Address
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Address Line | 2075 CLARK STATION RD
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City | FISHERVILLE
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State | KY
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Zip | 40023-8720
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Country | US
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Telephone | 502-254-9638
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 007709
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21401
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License Number State | TX
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