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General NPI Number Information
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NPI Number | 1770543712
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Entity Type | Individual
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Provider Name | MICHELE M. CARPENTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1010 W LA VETA AVE SUITE 470
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City | ORANGE
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State | CA
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Zip | 92868
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Country | US
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Telephone | 714-565-0166
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Fax | 714-937-0166
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Provider Business Mailing Address
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Address Line | 1000 W LAVETA AVE
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City | ORANGE
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State | CA
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Zip | 92868-4305
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Country | US
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Telephone | 714-734-6216
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Fax | 888-424-9767
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | G58755
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G58755
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License Number State | CA
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