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General NPI Number Information
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NPI Number | 1750885513
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Entity Type | Individual
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Provider Name | BRIAN THOMAS CARR II MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 7777 HENNESSY BLVD STE 206
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City | BATON ROUGE
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State | LA
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Zip | 70808-4363
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Country | US
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Telephone | 225-767-1156
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Fax | 225-767-5980
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Provider Business Mailing Address
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Address Line | 1000 BEVERLY GARDEN DR
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City | METAIRIE
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State | LA
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Zip | 70002-5004
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Country | US
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Telephone | 504-568-2249
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 341559
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License Number State | LA
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