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General NPI Number Information
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NPI Number | 1699355925
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Entity Type | Individual
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Provider Name | PRISCILLA LEE CARPENTER DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 8912 BLAKENEY PROFESSIONAL DR STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28277-6735
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Country | US
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Telephone | 980-833-1214
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Fax |
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Provider Business Mailing Address
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Address Line | 14109 GLASWICK DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-8668
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Country | US
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Telephone | 704-222-8800
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DRPM2339
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 13157
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License Number State | NC
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