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General NPI Number Information
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NPI Number | 1407366735
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Entity Type | Individual
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Provider Name | DONYA LASHAWN CARTER NP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2017
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 1400 PELHAM PKWY S
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City | BRONX
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State | NY
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Zip | 10461-1138
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Country | US
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Telephone | 718-918-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CORNERS RD
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City | CONGERS
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State | NY
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Zip | 10920-1222
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Country | US
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Telephone | 646-523-8004
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 342305
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 632533
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License Number State | NY
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