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General NPI Number Information
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NPI Number | 1740285113
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Entity Type | Individual
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Provider Name | ERIC S CARTER MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 108 W DAISY LN
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City | NEW ALBANY
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State | IN
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Zip | 47150-4537
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Country | US
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Telephone | 502-893-0159
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Fax |
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Provider Business Mailing Address
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Address Line | 2944 BRECKENRIDGE LN
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City | LOUISVILLE
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State | KY
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Zip | 40220-1409
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Country | US
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Telephone | 502-893-0159
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 34837
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01057126A
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License Number State | IN
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