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General NPI Number Information
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NPI Number | 1326016692
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Entity Type | Organization
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Legal Business Name | ROBERT A CARTER MD INC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 NO MAIN STREET
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City | YREKA
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State | CA
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Zip | 96097
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Country | US
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Telephone | 530-842-7357
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Fax | 530-842-7304
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Provider Business Mailing Address
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Address Line | 200 NO MAIN STREET
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City | YREKA
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State | CA
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Zip | 96097
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Country | US
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Telephone | 530-842-7357
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Fax | 530-842-7304
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT A CARTER
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Credential | MD
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Telephone | 530-842-7357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C406710
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License Number State | CA
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