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General NPI Number Information
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NPI Number | 1841604873
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Entity Type | Organization
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Legal Business Name | CARTER CHIROPRACTIC AND WELLNESS CENTER , LLC
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 608 DECATUR AVE
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City | BROOKSVILLE
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State | FL
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Zip | 34601-3236
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Country | US
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Telephone | 352-796-7201
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Fax | 352-796-5215
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Provider Business Mailing Address
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Address Line | 291 E JEFFERSON ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2699
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Country | US
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Telephone | 352-796-7201
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Fax | 352-796-5215
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | NATHAN CARTER
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Credential | DC
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Telephone | 352-796-7201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CH10098
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License Number State | FL
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