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NPI 1477171734

NPI 1477171734 : ERIN CARR DDS : WESTERVILLE, OH

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General NPI Number Information
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    NPI Number           |    1477171734
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN CARR DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/13/2020
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    Last Update Date     |    04/19/2024
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Provider Practice Location Address
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    Address Line         |    538 POLARIS PKWY 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43082-7044
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    Country              |    US
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    Telephone            |    614-891-4242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    507 FOREST ST 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43206-2372
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    Country              |    US
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    Telephone            |    440-221-3179
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    7504
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    License Number State |    OK
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DEN1002145
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    License Number State |    DC
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