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General NPI Number Information
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NPI Number | 1508983388
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Entity Type | Individual
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Provider Name | ADAM JAMES CARTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 WATSON BLVD
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City | STRATFORD
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State | CT
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Zip | 06615-7127
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Country | US
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Telephone | 203-380-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MONITOR HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-2242
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Country | US
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Telephone | 203-304-1266
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 044119
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License Number State | CT
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