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General NPI Number Information
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NPI Number | 1629164561
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Entity Type | Individual
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Provider Name | STEVEN HOWELL CARTER PSYD LP
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 10 CRATER LAKE AVE STE 18
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City | MEDFORD
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State | OR
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Zip | 97504-7445
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Country | US
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Telephone | 541-244-2643
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Fax | 541-248-6254
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Provider Business Mailing Address
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Address Line | 104 DARLINGTON ST
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City | MEDFORD
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State | OR
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Zip | 97501-2892
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Country | US
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Telephone | 218-248-0118
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP 3083
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | LP 3083
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP 3083
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License Number State | MN
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