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General NPI Number Information
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NPI Number | 1467634154
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Entity Type | Organization
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Legal Business Name | CARTY-KEMKER FAMILY MEDICINE
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 1002 N SHELBY ST SUITE 1000
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City | SALEM
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State | IN
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Zip | 47167-2307
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Country | US
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Telephone | 812-883-3627
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Fax | 812-883-3736
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Provider Business Mailing Address
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Address Line | 1002 N SHELBY ST SUITE 1000
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City | SALEM
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State | IN
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Zip | 47167-2307
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Country | US
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Telephone | 812-883-3627
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Fax | 812-883-3736
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Authorized Official
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Title or Position | M.D.
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Name | STEPHEN KEMKER
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Credential | M.D.
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Telephone | 812-883-3627
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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 | 01039535
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License Number State | IN
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