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General NPI Number Information
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NPI Number | 1750693099
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Entity Type | Individual
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Provider Name | JEFFREY MICHAEL CARNESS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-0198
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Fax |
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Provider Business Mailing Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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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 |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD60878390
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | MD60878390
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101250393
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License Number State | VA
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