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General NPI Number Information
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NPI Number | 1396869210
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Entity Type | Individual
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Provider Name | JOHN FRANCIS CARROLL MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 108 CANAL WALK BLVD
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City | SOMERSET
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State | NJ
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Zip | 08873-7277
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Country | US
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Telephone | 732-412-7324
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Fax | 732-412-7324
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Provider Business Mailing Address
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Address Line | 108 CANAL WALK BLVD
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City | SOMERSET
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State | NJ
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Zip | 08873-7277
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Country | US
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Telephone | 732-412-7324
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Fax | 732-412-7324
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 123586
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License Number State | NY
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