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General NPI Number Information
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NPI Number | 1740433184
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Entity Type | Organization
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Legal Business Name | RICHARD L. CARTER DDS PC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 3204 N ACADEMY BLVD STE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5165
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Country | US
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Telephone | 719-591-0750
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Fax | 719-380-8764
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Provider Business Mailing Address
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Address Line | 3204 N ACADEMY BLVD STE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5165
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Country | US
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Telephone | 719-591-0750
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Fax | 719-380-8764
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD LEE CARTER
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Credential | DDS
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Telephone | 719-591-0750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3248
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License Number State | CO
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