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General NPI Number Information
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NPI Number | 1184529125
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Entity Type | Individual
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Provider Name | KENTURA CARPENTER CST, CSFA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1000 MEDICAL CENTER DR
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City | HARDEEVILLE
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State | SC
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Zip | 29927-3446
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Country | US
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Telephone | 843-784-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1287
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City | SAINT HELENA ISLAND
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State | SC
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Zip | 29920-1287
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 161681
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License Number State | SC
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