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General NPI Number Information
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NPI Number | 1851548846
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Entity Type | Individual
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Provider Name | SUE A CARTER NP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 46 FAIRVIEW AVE STE 111
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City | SKOWHEGAN
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State | ME
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Zip | 04976-1481
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Country | US
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Telephone | 207-474-0905
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Fax | 207-474-6930
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Provider Business Mailing Address
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Address Line | 30 W MCCREIGHT AVE STE 208
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City | SPRINGFIELD
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State | OH
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Zip | 45504-1853
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Country | US
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Telephone | 937-328-7266
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Fax | 937-328-5276
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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 | APRN.CNP.10165
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP221014
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License Number State | ME
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