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General NPI Number Information
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NPI Number | 1336128123
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Entity Type | Individual
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Provider Name | ROBERT SAGUE CARTER JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 600 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-4300
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Country | US
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Telephone | 252-744-4418
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Fax | 252-744-2827
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Provider Business Mailing Address
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Address Line | 600 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-4300
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Country | US
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Telephone | 252-744-4418
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Fax | 252-744-2827
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7480
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9256
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License Number State | NC
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