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General NPI Number Information
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NPI Number | 1801787718
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Entity Type | Individual
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Provider Name | CARLA ROSE CARPENTER
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 61690 PETTIGREW RD
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City | BEND
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State | OR
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Zip | 97702-2422
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Country | US
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Telephone | 541-617-0377
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Fax | 833-776-0563
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Provider Business Mailing Address
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Address Line | 2360 SW VALLEYVIEW CT
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City | REDMOND
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State | OR
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Zip | 97756-7966
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Country | US
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Telephone | 503-931-3458
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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