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NPI 1326284076

NPI 1326284076 : DAVID W CARTER CRNA : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1326284076
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID W CARTER CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/31/2008
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    Last Update Date     |    09/29/2023
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Provider Practice Location Address
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    Address Line         |    1111 E MCDOWELL RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85006-2612
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    Country              |    US
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    Telephone            |    602-839-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7140 E KIERLAND BLVD APT 1119 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-1487
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    Country              |    US
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    Telephone            |    615-573-2483
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    80411
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    294411
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    License Number State |    AZ
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