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General NPI Number Information
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NPI Number | 1134251515
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Entity Type | Individual
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Provider Name | COURTNEY BETH CARR DDS
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 6225 CHAPEL HILL BLVD
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City | PLANO
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State | TX
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Zip | 75093-6392
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Country | US
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Telephone | 972-608-4746
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Fax | 972-608-4749
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Provider Business Mailing Address
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Address Line | 1100 KING MARK DR
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City | LEWISVILLE
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State | TX
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Zip | 75056-5786
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Country | US
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Telephone | 214-228-3365
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22737
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22737
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License Number State | TX
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