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General NPI Number Information
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NPI Number | 1336556646
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Entity Type | Organization
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Legal Business Name | CARTER ORTHODONTICS LLC
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 85 CHURCH AVE
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City | RAINSVILLE
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State | AL
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Zip | 35986-6147
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Country | US
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Telephone | 256-638-9800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | RAINSVILLE
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State | AL
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Zip | 35986-0425
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Country | US
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Telephone | 256-717-8494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JARED ADRIAN CARTER
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Credential | D.M.D., M.S.
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Telephone | 256-638-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6078
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License Number State | AL
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