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General NPI Number Information
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NPI Number | 1689963704
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Entity Type | Individual
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Provider Name | MR. MICHAEL DONNELL CARTER
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Gender | Male
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 304 CARR MEADOW DR
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City | RIDGELAND
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State | MS
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Zip | 39157-1821
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Country | US
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Telephone | 601-383-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 304 CARR MEADOW DR
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City | RIDGELAND
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State | MS
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Zip | 39157-1821
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Country | US
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Telephone | 601-383-2904
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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