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General NPI Number Information
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NPI Number | 1720307937
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Entity Type | Individual
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Provider Name | ALAN J CARPENTER
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Gender | Male
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 13435 S MCCALL RD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33981-6422
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Country | US
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Telephone | 941-473-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 27 DOMINICA DR
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City | ENGLEWOOD
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State | FL
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Zip | 34223
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Country | US
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Telephone | 941-473-7734
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS26421
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH025303
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License Number State | GA
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