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General NPI Number Information
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NPI Number | 1093874968
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Entity Type | Organization
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Legal Business Name | CARTER CHIROPRACTIC AND WELLNESS L L C
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 10/01/2011
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Provider Practice Location Address
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Address Line | 1205 PIPER BLVD SUITE 103
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City | NAPLES
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State | FL
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Zip | 34110-1387
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Country | US
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Telephone | 239-784-8895
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Fax | 888-784-8895
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Provider Business Mailing Address
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Address Line | 1205 PIPER BLVD SUITE 103
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City | NAPLES
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State | FL
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Zip | 34110-1387
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Country | US
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Telephone | 239-784-8895
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Fax | 888-784-8895
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSAN M. CARTER
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Credential | D.C.
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Telephone | 239-784-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9228
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License Number State | FL
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