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General NPI Number Information
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NPI Number | 1679684039
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Entity Type | Individual
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Provider Name | THOMAS EDWARD CARTER DO FACEP
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 1805 27TH STREET
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2681
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Country | US
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Telephone | 740-353-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 CHARIOT WAY
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2486
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Country | US
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Telephone | 740-353-2348
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34008743
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License Number State | OH
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