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General NPI Number Information
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NPI Number | 1508401654
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Entity Type | Individual
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Provider Name | MATTHEW JAMES CARTER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2019
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 3568 WINSTED RD
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City | TORRINGTON
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State | CT
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Zip | 06790-2213
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Country | US
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Telephone | 203-815-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 3568 WINSTED RD
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City | TORRINGTON
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State | CT
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Zip | 06790-2213
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Country | US
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Telephone | 203-258-9351
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0014830
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License Number State | CT
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