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General NPI Number Information
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NPI Number | 1336544709
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Entity Type | Individual
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Provider Name | MR. DARREN CARNES
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Gender | Male
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 321 CRESTVIEW ST
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City | CHANDLER
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State | TX
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Zip | 75758-2343
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Country | US
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Telephone | 903-360-7475
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Fax | 903-849-0225
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | CHANDLER
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State | TX
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Zip | 75758-0305
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Country | US
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Telephone | 903-360-7475
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Fax | 903-849-0225
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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