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General NPI Number Information
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NPI Number | 1194910976
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Entity Type | Individual
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Provider Name | DAVID EARL CARN PT
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Gender | Male
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 495 S NOVA RD STE 113
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8470
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Country | US
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Telephone | 386-677-4300
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Fax | 386-615-9216
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Provider Business Mailing Address
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Address Line | 495 S NOVA RD STE 113
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8470
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Country | US
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Telephone | 386-677-4300
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Fax | 386-615-9216
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA6520
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT2188
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License Number State | FL
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