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General NPI Number Information
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NPI Number | 1710101753
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Entity Type | Organization
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Legal Business Name | ROBERT T CARMAN PC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 101 JEFFERSON AVE
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City | ENDICOTT
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State | NY
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Zip | 13760-5225
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Country | US
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Telephone | 607-748-7328
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Fax |
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Provider Business Mailing Address
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Address Line | 101 JEFFERSON AVE
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City | ENDICOTT
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State | NY
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Zip | 13760-5225
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Country | US
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Telephone | 607-748-7328
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MICHAEL D CARMAN
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Credential | D.D.S.
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Telephone | 607-748-7328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 022711
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License Number State | NY
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