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General NPI Number Information
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NPI Number | 1639442916
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Entity Type | Individual
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Provider Name | SHARON LAGRANDE CARTER DDS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 1005 DR DB TODD JR BLVD
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City | NASHVILLE
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State | TN
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Zip | 37208-3501
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Country | US
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Telephone | 615-327-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 DR. DB TODD JR. BLVD.
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City | NASHVILLE
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State | TN
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Zip | 37208
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Country | US
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Telephone | 615-327-6682
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7823
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 442866
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License Number State | TN
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