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General NPI Number Information
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NPI Number | 1184536617
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Entity Type | Individual
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Provider Name | MARY KARIN CARPENTER
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 6135 KING RD STE B
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City | LOOMIS
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State | CA
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Zip | 95650-8877
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Country | US
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Telephone | 916-676-7405
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Fax |
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Provider Business Mailing Address
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Address Line | 10556 COMBIE RD # 34
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City | AUBURN
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State | CA
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Zip | 95602-8908
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Country | US
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Telephone | 530-450-5820
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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