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General NPI Number Information
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NPI Number | 1801085030
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Entity Type | Individual
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Provider Name | AUBREY R CARTER JR. D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 19718 68TH AVE W SUITE G
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City | LYNNWOOD
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State | WA
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Zip | 98036-5965
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Country | US
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Telephone | 425-778-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 12919 78TH PL SE
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City | SNOHOMISH
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State | WA
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Zip | 98290-6202
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Country | US
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Telephone | 360-568-3811
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4731
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License Number State | WA
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