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General NPI Number Information
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NPI Number | 1093723900
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Entity Type | Organization
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Legal Business Name | CARTER REAL ESTATE PROPERTIES INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 375 MUNICIPAL DR SUITE 214
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City | RICHARDSON
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State | TX
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Zip | 75080-3624
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Country | US
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Telephone | 972-918-9400
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Fax | 972-918-9749
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Provider Business Mailing Address
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Address Line | 375 MUNICIPAL DR SUITE 214
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City | RICHARDSON
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State | TX
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Zip | 75080-3624
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Country | US
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Telephone | 972-918-9400
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Fax | 972-918-9749
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARVEY LEE CARTER III
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Credential | MD
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Telephone | 214-775-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 000279
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License Number State | TX
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