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General NPI Number Information
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NPI Number | 1164631438
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Entity Type | Organization
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Legal Business Name | CARR & CARR DDS PA
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3385 BURNS ROAD SUITE 104
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-626-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 3385 BURNS ROAD SUITE 104
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-626-9400
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST PRESIDENT
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Name | DR. BEVERLY CARR
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Credential | DDS
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Telephone | 561-626-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN0010003
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License Number State | FL
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