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General NPI Number Information
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NPI Number | 1710474093
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Entity Type | Organization
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Legal Business Name | CARMACARE INC
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 2408 MILITARY RD
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City | BENTON
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State | AR
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Zip | 72015-2743
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Country | US
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Telephone | 501-422-9229
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Fax | 501-325-5245
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Provider Business Mailing Address
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Address Line | 1064 OLIVER LN
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City | CABOT
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State | AR
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Zip | 72023-7726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JULIE CARMAN
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Credential |
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Telephone | 501-422-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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