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General NPI Number Information
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NPI Number | 1518778158
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Entity Type | Organization
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Legal Business Name | CARPENTER SNF DIRECTOR SERVICES, PLLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1003 COLUMBIA ST
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City | STAMFORD
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State | TX
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Zip | 79553-6825
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Country | US
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Telephone | 325-773-3671
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Fax | 325-773-2580
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Provider Business Mailing Address
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Address Line | 809 BYRD DR
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City | ABILENE
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State | TX
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Zip | 79601-5410
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Country | US
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Telephone | 325-370-4598
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SCOTT S CARPENTER
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Credential | DO
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Telephone | 325-370-4598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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