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General NPI Number Information
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NPI Number | 1700854999
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Entity Type | Individual
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Provider Name | ZANDALL CARPENTER D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 10900 MENAUL BLVD NE STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2453
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Country | US
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Telephone | 213-910-8828
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Fax | 505-323-4952
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Provider Business Mailing Address
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Address Line | 1548 OCEAN BREEZE DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4600
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Country | US
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Telephone | 213-910-8828
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Fax | 505-323-4952
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-26357
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1653
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License Number State | NM
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