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General NPI Number Information
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NPI Number | 1265952188
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Entity Type | Individual
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Provider Name | JENNIFER LOUISE CARVER DMD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 8076 US HIGHWAY 42
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City | FLORENCE
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State | KY
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Zip | 41042-1474
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Country | US
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Telephone | 859-282-9741
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Fax |
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Provider Business Mailing Address
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Address Line | 221 MANOAH LN
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-9087
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Country | US
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Telephone | 859-333-2891
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019031405
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9947
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License Number State | KY
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