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General NPI Number Information
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NPI Number | 1417007824
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Entity Type | Organization
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Legal Business Name | A F CARRO PA
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 3122 N CYPRESS DR STE 100
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City | WICHITA
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State | KS
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Zip | 67226-4014
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Country | US
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Telephone | 316-684-5257
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Fax | 316-684-9369
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Provider Business Mailing Address
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Address Line | 3122 N CYPRESS DR STE 100
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City | WICHITA
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State | KS
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Zip | 67226-4014
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Country | US
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Telephone | 316-684-5257
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Fax | 316-684-9369
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERTO F CARRO
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Credential | M D
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Telephone | 316-684-5257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-21106
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License Number State | KS
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