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General NPI Number Information
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NPI Number | 1467867721
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Entity Type | Organization
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Legal Business Name | G.P. CARTER, PSC
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 412 N. LOCK AVE.
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City | LOUISA
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State | KY
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Zip | 41230-1197
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Country | US
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Telephone | 606-638-4595
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Fax | 606-638-4595
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Provider Business Mailing Address
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Address Line | 412 N. LOCK AVE.
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City | LOUISA
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State | KY
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Zip | 41230-1197
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Country | US
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Telephone | 606-638-4595
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Fax | 606-638-9471
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARC A. WORKMAN
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Credential | M.D.
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Telephone | 606-638-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | KY
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