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General NPI Number Information
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NPI Number | 1124834718
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Entity Type | Individual
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Provider Name | ADAM MICHAEL CARP RN
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 11815 EDUCATION ST
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City | AUBURN
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State | CA
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Zip | 95602-2410
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Country | US
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Telephone | 530-401-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 269 CHANNEL HILL LN
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City | AUBURN
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State | CA
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Zip | 95603-3190
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Country | US
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Telephone | 530-401-6302
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95036956
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95192219
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License Number State | CA
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