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General NPI Number Information
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NPI Number | 1215008297
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Entity Type | Individual
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Provider Name | TIMOTHY LEWIS CARPENTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2501 INTERNATIONAL PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35243-4253
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Country | US
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Telephone | 205-813-7400
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Fax | 205-813-7405
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Provider Business Mailing Address
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Address Line | 2501 INTERNATIONAL PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35243-4253
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Country | US
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Telephone | 205-813-7400
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Fax | 205-813-7405
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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 | DO.1502
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A7377
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License Number State | CA
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