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General NPI Number Information
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NPI Number | 1285987248
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Entity Type | Individual
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Provider Name | BRYAN C CARNEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 1735 27TH ST WALLER BLDG, SUITE B 06
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2677
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Country | US
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Telephone | 252-499-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 ARENDELL ST
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2901
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Country | US
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Telephone | 252-499-6000
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 58004617
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 212599
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License Number State | NC
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