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General NPI Number Information
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NPI Number | 1689079162
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Entity Type | Individual
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Provider Name | GEORGIA CARR
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 1779 S PEARL ST APT 2
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City | DENVER
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State | CO
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Zip | 80210-3167
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Country | US
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Telephone | 303-717-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 3630 W 32ND AVE UNIT 3
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City | DENVER
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State | CO
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Zip | 80211-3191
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Country | US
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Telephone | 303-717-3221
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0001909
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License Number State | CO
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