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General NPI Number Information
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NPI Number | 1609885433
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Entity Type | Individual
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Provider Name | ROBERT SCOTT CARTER P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4022 N OCEAN BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-6420
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Country | US
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Telephone | 954-567-2617
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Fax | 954-567-2619
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Provider Business Mailing Address
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Address Line | 4022 N OCEAN BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-6420
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Country | US
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Telephone | 954-567-2617
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Fax | 954-567-2619
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15603
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License Number State | FL
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