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General NPI Number Information
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NPI Number | 1861519266
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Entity Type | Organization
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Legal Business Name | CARPENTER OPTOMETRY PA
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 5501 SW 29TH ST SUITE 3
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City | TOPEKA
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State | KS
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Zip | 66614-2479
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Country | US
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Telephone | 785-272-5544
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Fax | 785-272-0275
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Provider Business Mailing Address
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Address Line | 5501 SW 29TH ST SUITE 3
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City | TOPEKA
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State | KS
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Zip | 66614-2479
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Country | US
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Telephone | 785-272-5544
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Fax | 785-272-0275
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SCOTT MICHAEL CARPENTER
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Credential | O.D.
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Telephone | 785-272-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1256-2
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License Number State | KS
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