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General NPI Number Information
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NPI Number | 1578573556
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Entity Type | Individual
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Provider Name | KRISTY EDGE CARTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 125 HUXLEY RD
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City | KNOXVILLE
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State | TN
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Zip | 37922-3197
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Country | US
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Telephone | 865-470-8844
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Fax | 865-539-0956
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Provider Business Mailing Address
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Address Line | 1275 DICK LONAS RD UNIT 101
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City | KNOXVILLE
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State | TN
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Zip | 37909-1383
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Country | US
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Telephone | 865-584-4747
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Fax | 865-584-1363
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 54528
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License Number State | TN
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