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General NPI Number Information
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NPI Number | 1144049958
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Entity Type | Organization
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Legal Business Name | CARTE MEDICAL LLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 2313 ALLENDALE RD
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City | BALTIMORE
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State | MD
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Zip | 21216-2156
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Country | US
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Telephone | 202-897-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 11110 SUNSET HILLS RD UNIT 2112
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City | RESTON
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State | VA
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Zip | 20190-9997
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Country | US
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Telephone | 202-897-4232
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GINA SIDDIQUI
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Credential | MD
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Telephone | 202-897-4232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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