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General NPI Number Information
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NPI Number | 1114101078
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Entity Type | Organization
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Legal Business Name | DR. TODD CARTER D.D.S
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 123 NC HIGHWAY 801 S. #C-100
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City | ADVANCE
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State | NC
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Zip | 27006
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Country | US
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Telephone | 336-940-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 123 NC HIGHWAY 801 S. #C-100
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City | ADVANCE
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State | NC
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Zip | 27006
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Country | US
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Telephone | 336-940-2342
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Fax |
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Authorized Official
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Title or Position | DENTAL ASSISTANT
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Name | REBECCA COXEY
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Credential |
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Telephone | 336-940-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | NC5973
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License Number State | NC
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