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General NPI Number Information
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NPI Number | 1619638541
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Entity Type | Organization
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Legal Business Name | CARRIE CARTER MD PLLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN STE 540
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City | DALLAS
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State | TX
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Zip | 75231-3824
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Country | US
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Telephone | 214-587-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 7129 BLAIRVIEW DR
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City | DALLAS
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State | TX
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Zip | 75230-5410
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Country | US
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Telephone | 214-587-7585
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CARRIE LILLIAN CARTER
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Credential | MD
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Telephone | 214-587-7585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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