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General NPI Number Information
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NPI Number | 1467741538
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Entity Type | Individual
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Provider Name | TAMARA CARROLL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 10401 SPOTSYLVANIA AVE STE 200
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8606
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Country | US
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Telephone | 540-842-6884
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Fax |
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Provider Business Mailing Address
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Address Line | 10401 SPOTSYLVANIA AVE STE 200
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-8606
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Country | US
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Telephone | 540-842-6884
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD223089
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD60382388
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 054897
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101268220
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14221319-1205
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | V5513
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License Number State | TX
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