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General NPI Number Information
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NPI Number | 1861063224
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Entity Type | Individual
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Provider Name | ERIC ANDREW CARTER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 609 E ELK AVE
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City | ELIZABETHTON
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State | TN
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Zip | 37643-3329
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Country | US
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Telephone | 423-542-2138
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Fax |
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Provider Business Mailing Address
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Address Line | 146 QUAIL RIDGE RD
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City | JOHNSON CITY
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State | TN
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Zip | 37601-6313
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Country | US
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Telephone | 423-773-9810
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45180
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License Number State | TN
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