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General NPI Number Information
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NPI Number | 1558628412
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Entity Type | Individual
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Provider Name | CHRISTOPHER PATRICK CARROLL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2012
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | DEPARTMENT OF NEUROSURGERY, BLDG3 620 JOHN PAUL JONES CIRLCE
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 757-953-9390
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Fax |
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Provider Business Mailing Address
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Address Line | DEPARTMENT OF NEUROSURGERY 620 JOHN PAUL JONES CIRCLE, BLDG 3
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City | PORTSMOUTH
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State | VA
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Zip | 23708
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Country | US
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Telephone | 757-953-9390
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Fax | 757-953-9415
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 35.122080
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 0101267141
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 135974
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License Number State | FL
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