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General NPI Number Information
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NPI Number | 1356022826
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Entity Type | Organization
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Legal Business Name | SAMANTHA CARTER NP LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 2948 ROSS CLARK CIR
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City | DOTHAN
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State | AL
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Zip | 36301-1161
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Country | US
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Telephone | 334-351-9849
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Fax | 334-321-7273
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Provider Business Mailing Address
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Address Line | 8 HAMPTON WAY
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City | DOTHAN
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State | AL
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Zip | 36305-6319
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Country | US
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Telephone | 334-714-8182
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Fax |
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Authorized Official
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Title or Position | CRNP
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Name | MRS. SAMANTHA POOLE CARTERF
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Credential | CRNP
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Telephone | 334-714-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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