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General NPI Number Information
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NPI Number | 1669427704
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Entity Type | Individual
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Provider Name | DAVID LEON CARTER MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 110 S VAN DYKE ROAD
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City | BAD AXE
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State | MI
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Zip | 48413
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Country | US
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Telephone | 989-269-9521
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Fax | 989-269-5209
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Provider Business Mailing Address
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Address Line | 4420 VARSITY DR ATTN: BARB SIMMONS
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City | ANN ARBOR
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State | MI
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Zip | 48108-2233
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Country | US
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Telephone | 734-677-7400
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Fax | 734-677-7400
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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 | 4301G48193
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License Number State | MI
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