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General NPI Number Information
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NPI Number | 1548575970
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Entity Type | Individual
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Provider Name | ANTHONY JERRARD CARTER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 07/03/2020
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Provider Practice Location Address
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Address Line | 1200 W YAMATO RD STE A4
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City | BOCA RATON
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State | FL
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Zip | 33431-4428
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Country | US
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Telephone | 561-997-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 MANOR DR S
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City | WESTON
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State | FL
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Zip | 33326-2824
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Country | US
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Telephone | 954-232-9899
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14552
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 058318
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14552
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN24590
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License Number State | FL
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