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General NPI Number Information
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NPI Number | 1598629883
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Entity Type | Individual
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Provider Name | CARLOS JAVIER CARTAGENA
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Gender | Male
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 914 INDUSTRIAL PARK RD
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City | DANDRIDGE
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State | TN
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Zip | 37725-4700
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Country | US
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Telephone | 865-397-3163
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Fax |
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Provider Business Mailing Address
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Address Line | 606 MOUNT BETHEL RD
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City | GREENEVILLE
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State | TN
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Zip | 37745-6376
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Country | US
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Telephone | 423-797-0075
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 9009
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License Number State | TN
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