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General NPI Number Information
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NPI Number | 1639960891
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Entity Type | Individual
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Provider Name | ERICA RENEE CARTER AUD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1000 JASON WITTEN WAY
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2970
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Country | US
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Telephone | 423-439-4355
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Fax |
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Provider Business Mailing Address
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Address Line | 241 TELFORD RD
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City | TELFORD
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State | TN
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Zip | 37690-2661
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Country | US
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Telephone | 423-202-8029
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2302
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License Number State | TN
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