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General NPI Number Information
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NPI Number | 1619844677
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Entity Type | Individual
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Provider Name | ANTHONY CARTER
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Gender | Male
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 10501 LAGRIMA DE ORO RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3737
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Country | US
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Telephone | 505-293-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 601 NATHAN ST SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-3815
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Country | US
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Telephone | 440-665-1088
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT4591
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License Number State | NM
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