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General NPI Number Information
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NPI Number | 1811088024
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Entity Type | Organization
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Legal Business Name | M. CARTER ENTERPRISES PLLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 3217 SUMMIT SQUARE PL STE 100
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City | LEXINGTON
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State | KY
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Zip | 40509-2642
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Country | US
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Telephone | 859-271-1092
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Fax | 888-521-2925
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Provider Business Mailing Address
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Address Line | 1104 ALDRIDGE WAY
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City | LEXINGTON
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State | KY
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Zip | 40515-6286
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Country | US
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Telephone | 859-699-6750
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Fax | 888-521-2925
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY KRUGER
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Credential |
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Telephone | 859-271-1092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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