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General NPI Number Information
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NPI Number | 1497065429
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Entity Type | Individual
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Provider Name | ZENA R CARTER MPH, MSHS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 2280 OPITZ BLVD STE 250
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3362
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Country | US
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Telephone | 703-523-1720
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Fax | 855-210-2389
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Provider Business Mailing Address
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Address Line | 2280 OPITZ BLVD STE 250
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3362
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Country | US
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Telephone | 703-523-1720
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Fax | 855-210-2389
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C05670
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110003418
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License Number State | VA
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