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General NPI Number Information
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NPI Number | 1124678511
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Entity Type | Individual
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Provider Name | CAROLYN CELESTINE CHARLES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1920 COUNTRY PLACE PKWY STE 160
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City | PEARLAND
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State | TX
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Zip | 77584-2283
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Country | US
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Telephone | 281-455-0525
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Fax | 832-730-4574
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Provider Business Mailing Address
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Address Line | 1920 COUNTRY PLACE PKWY STE 160
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City | PEARLAND
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State | TX
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Zip | 77584-2283
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Country | US
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Telephone | 832-736-2677
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Fax | 832-730-4574
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 143100
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 143100
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License Number State | TX
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