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General NPI Number Information
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NPI Number | 1699584417
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Entity Type | Individual
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Provider Name | DARIEN NYCOLE CARTER
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Gender | Female
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 718 GOODWIN LN
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City | LEITCHFIELD
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State | KY
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Zip | 42754-1400
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Country | US
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Telephone | 270-259-4036
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 RUBE SMITH RD
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City | CANMER
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State | KY
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Zip | 42722-9499
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Country | US
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Telephone | 270-584-4330
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4033737
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License Number State | KY
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