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NPI 1205319795

NPI 1205319795 : CARTER & HIGGINS ORTHODONTICS PLLC : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1205319795
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARTER & HIGGINS ORTHODONTICS PLLC 
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Dates
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    Enumeration Date     |    09/11/2018
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    Last Update Date     |    09/11/2018
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Provider Practice Location Address
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    Address Line         |    3232 E 31ST ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74105-2442
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    Country              |    US
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    Telephone            |    918-986-9986
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3232 E 31ST ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74105-2442
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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    |    MANAGER/MEMBER
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    Name                 |     EMILY  CARTER 
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    Credential           |    
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    Telephone            |    918-688-3399
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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       |    
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    License Number State |    
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