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General NPI Number Information
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NPI Number | 1356301956
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Entity Type | Individual
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Provider Name | DENISE W CARTER OD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 33 KEMMERLIN LN
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City | LADYS ISLAND
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State | SC
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Zip | 29907-2702
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Country | US
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Telephone | 843-521-2020
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Fax | 843-524-7559
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Provider Business Mailing Address
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Address Line | SUNGATE MEDICAL GROUP LLC 10 WILLIAM POPE DRIVE
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City | BLUFFTON
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State | SC
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Zip | 29909-7549
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Country | US
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Telephone | 843-842-2020
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Fax | 843-705-1512
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | SC 1022
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License Number State | SC
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