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General NPI Number Information
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NPI Number | 1609806355
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Entity Type | Organization
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Legal Business Name | HUNTINGDON SURGICAL P.C
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 641 RB WILSON DR STE J
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City | HUNTINGDON
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State | TN
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Zip | 38344-1734
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Country | US
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Telephone | 731-986-8623
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Fax | 731-986-8625
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Provider Business Mailing Address
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Address Line | 641 RB WILSON DR STE J
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City | HUNTINGDON
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State | TN
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Zip | 38344-1734
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Country | US
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Telephone | 731-986-8623
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Fax | 731-986-8625
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CALPHOR S. CARTY
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Credential | M.D.
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Telephone | 731-986-8623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 38761
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License Number State | TN
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