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General NPI Number Information
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NPI Number | 1518268036
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Entity Type | Individual
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Provider Name | DEBORAH G CARTER ED.D
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Gender | Female
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 656 MAIN ST
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City | PLACERVILLE
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State | CA
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Zip | 95667-5704
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Country | US
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Telephone | 530-295-0419
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Fax | 530-663-8404
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Provider Business Mailing Address
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Address Line | 656 MAIN ST
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City | PLACERVILLE
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State | CA
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Zip | 95667-5704
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Country | US
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Telephone | 530-295-0419
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Fax | 530-663-8404
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-23920
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License Number State | CA
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