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General NPI Number Information
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NPI Number | 1245292200
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Entity Type | Individual
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Provider Name | CHRISTOPHER CARTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 12/24/2020
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Provider Practice Location Address
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Address Line | 9169 W STATE ST STE 202
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City | BOISE
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State | ID
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Zip | 83714-1733
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Country | US
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Telephone | 208-503-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 9169 W STATE ST STE 202
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City | BOISE
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State | ID
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Zip | 83714-1733
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Country | US
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Telephone | 208-503-4145
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G74737
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License Number State | CA
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