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General NPI Number Information
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NPI Number | 1659554335
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Entity Type | Organization
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Legal Business Name | DANIEL O. CARSON, D.D.S, P.A.
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 510 N. HIGHWAY 16
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City | DENVER
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State | NC
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Zip | 28037
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Country | US
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Telephone | 704-489-1777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | DENVER
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State | NC
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Zip | 28037-0340
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Country | US
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Telephone | 704-489-1777
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Fax |
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Authorized Official
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Title or Position | OFFICER - TREASURER
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Name | STEPHANIE H CARSON
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Credential |
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Telephone | 704-489-1777
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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 | 8131
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License Number State | NC
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