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General NPI Number Information
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NPI Number | 1194833517
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Entity Type | Individual
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Provider Name | WILLIAM YARBOROUGH CARLTON MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 2200 SILAS CREEK PARKWAY SUITE 1-A
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City | WINSTON SALEM
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State | NC
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Zip | 27103
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Country | US
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Telephone | 336-722-7300
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Fax | 336-722-7311
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Provider Business Mailing Address
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Address Line | 2200 SILAS CREEK PARKWAY SUITE 1-A
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City | WINSTON SALEM
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State | NC
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Zip | 27103
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Country | US
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Telephone | 336-722-7300
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Fax | 336-722-7311
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25782
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License Number State | NC
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