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General NPI Number Information
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NPI Number | 1407464290
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Entity Type | Organization
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Legal Business Name | CARROT FERTILITY, INC.
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 101 JEFFERSON DR FL 1
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City | MENLO PARK
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State | CA
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Zip | 94025-1114
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Country | US
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Telephone | 510-925-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 101 JEFFERSON DR FL 1
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City | MENLO PARK
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State | CA
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Zip | 94025-1114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, CO-FOUNDER
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Name | TAMMY SUN
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Credential |
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Telephone | 510-925-2003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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