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General NPI Number Information
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NPI Number | 1477643294
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Entity Type | Individual
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Provider Name | KEVIN JAMES CAREY D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 220 S RIVER ST SUITE 200
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City | PLAINS
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State | PA
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Zip | 18705-1137
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Country | US
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Telephone | 570-824-8151
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Fax | 570-824-0111
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Provider Business Mailing Address
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Address Line | 220 RIVER RD STE 200
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City | PLAINS
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State | PA
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Zip | 18705-1137
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Country | US
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Telephone | 570-824-8151
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS009805L
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License Number State | PA
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