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General NPI Number Information
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NPI Number | 1649563412
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Entity Type | Individual
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Provider Name | LASHONDA ANN CARLTON MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 1828 E FLORENCE BLVD STE 110
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City | CASA GRANDE
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State | AZ
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Zip | 85122-4783
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Country | US
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Telephone | 520-876-4006
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 W FRYE RD STE 9
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City | CHANDLER
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State | AZ
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Zip | 85224-6277
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Country | US
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Telephone | 480-821-3600
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 50923
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License Number State | AZ
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