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General NPI Number Information
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NPI Number | 1508078619
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Entity Type | Organization
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Legal Business Name | ANDREA E CARTER O D P A
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 4001 SE FEDERAL HIGHWAY
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City | STUART
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State | FL
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Zip | 34997
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Country | US
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Telephone | 772-283-8998
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Fax | 772-283-2751
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Provider Business Mailing Address
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Address Line | 4001 SE FEDERAL HIGHWAY
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City | STUART
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State | FL
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Zip | 34997
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Country | US
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Telephone | 772-283-8998
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Fax | 772-283-2751
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA CARTER
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Credential |
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Telephone | 772-283-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 2022
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License Number State | FL
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