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General NPI Number Information
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NPI Number | 1154718179
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Entity Type | Individual
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Provider Name | PATRICK CARPENTER
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Gender | Male
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2340 CLAY ST FL 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1932
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Country | US
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Telephone | 415-600-0151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 10092126-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | A169007
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License Number State | CA
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