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General NPI Number Information
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NPI Number | 1417618729
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Entity Type | Individual
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Provider Name | JAMES DAVID CARROLL FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2430 RESEARCH PKWY STE 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1093
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Country | US
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Telephone | 719-445-6242
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Fax | 719-445-6332
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Provider Business Mailing Address
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Address Line | 2430 RESEARCH PKWY STE 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1093
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Country | US
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Telephone | 719-445-6242
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Fax | 719-445-6332
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95068351
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95020376
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License Number State | CA
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