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General NPI Number Information
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NPI Number | 1578715751
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Entity Type | Individual
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Provider Name | LISA M CARTER RPA,RTR,M,CT,RRA,RVT
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Gender | Female
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Dates
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Enumeration Date | 10/19/2008
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Last Update Date | 10/19/2008
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Provider Practice Location Address
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Address Line | 580 W COLLEGE AVE
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City | MARQUETTE
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State | MI
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Zip | 49855-2705
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Country | US
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Telephone | 906-225-3540
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ARROWHEAD DR
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City | MARQUETTE
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State | MI
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Zip | 49855-9456
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Country | US
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Telephone | 906-249-9804
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2471V0105X
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Taxonomy Name | Vascular Sonography Radiologic Technologist
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License Number |
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License Number State |
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