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General NPI Number Information
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NPI Number | 1669678249
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Entity Type | Individual
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Provider Name | CARL C GARNER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 585 W RIVER RD
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City | PALATKA
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State | FL
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Zip | 32177-7069
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Country | US
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Telephone | 386-325-2362
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Fax |
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Provider Business Mailing Address
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Address Line | 585 W RIVER RD
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City | PALATKA
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State | FL
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Zip | 32177-7069
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Country | US
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Telephone | 386-325-2362
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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 | 6505A
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License Number State | WY
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