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General NPI Number Information
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NPI Number | 1568667517
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Entity Type | Individual
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Provider Name | SARITA CARVER RRT
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 650 UNITED DR SUITE 210
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City | CONWAY
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State | AR
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Zip | 72032-7826
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Country | US
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Telephone | 501-525-2770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 246 544 HWY 232 W
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City | KEO
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State | AR
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Zip | 72083-0246
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Country | US
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Telephone | 501-773-4123
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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 | 2279P1005X
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Taxonomy Name | Pulmonary Rehabilitation Registered Respiratory Therapist
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License Number | 2685
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License Number State | AR
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