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General NPI Number Information
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NPI Number | 1659341337
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Entity Type | Individual
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Provider Name | JAMES B CARRICO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2483 HIGHWAY 644
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City | LOUISA
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State | KY
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Zip | 41230
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Country | US
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Telephone | 606-638-9451
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone |
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Fax | 615-322-5048
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 32974
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 32974
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 4301086981
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301086981
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036114899
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License Number State | IL
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