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General NPI Number Information
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NPI Number | 1134046394
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Entity Type | Individual
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Provider Name | NATHAN JOHN CARLING OD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 1251 E MCANDREWS RD STE 100
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City | MEDFORD
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State | OR
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Zip | 97504-6497
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Country | US
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Telephone | 541-779-1392
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Fax |
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Provider Business Mailing Address
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Address Line | 339 N SKIDMORE ST UNIT B
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City | PORTLAND
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State | OR
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Zip | 97217-2985
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Country | US
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Telephone | 865-851-1041
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ATI4838
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License Number State | OR
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