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General NPI Number Information
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NPI Number | 1386686608
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Entity Type | Organization
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Legal Business Name | CARTER'S MEDICAL SUPPLIES
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 10/27/2007
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Provider Practice Location Address
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Address Line | 4908 BARKER TEN MILE RD
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City | LUMBERTON
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State | NC
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Zip | 28358-0137
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Country | US
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Telephone | 910-618-0445
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Fax | 910-618-0455
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Provider Business Mailing Address
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Address Line | 3644 ROZIER SIDING RD.
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City | ST. PAULS
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State | NC
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Zip | 28384-6953
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Country | US
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Telephone | 910-618-0445
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Fax | 910-618-0455
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KATRINA CARTER
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Credential | CFO
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Telephone | 910-618-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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