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General NPI Number Information
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NPI Number | 1538680137
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Entity Type | Individual
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Provider Name | LYUDMILA A CARTER PA
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Gender | Female
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 950 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30901-2608
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Country | US
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Telephone | 706-733-0188
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Fax | 706-823-3960
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Provider Business Mailing Address
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Address Line | 950 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30901-2608
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Country | US
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Telephone | 706-733-0188
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Fax | 706-823-3960
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-08424
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License Number State | NC
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