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General NPI Number Information
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NPI Number | 1790134369
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Entity Type | Individual
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Provider Name | LATOYA M CARSTARPHEN
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 48 MEDICAL PARK DR E SUITE 154
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3400
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Country | US
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Telephone | 205-202-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 4145 OVERLOOK CIR
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City | TRUSSVILLE
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State | AL
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Zip | 35173-3848
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Country | US
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Telephone | 251-593-7035
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-127925
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License Number State | AL
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