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General NPI Number Information
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NPI Number | 1861670531
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Entity Type | Individual
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Provider Name | ANASTASIYA V CARNEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 175 S UNION BLVD STE 315
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3126
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Country | US
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Telephone | 719-365-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 383 DAVIT AVE
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City | JAMESTOWN
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State | RI
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Zip | 02835-1719
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA06481
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA 0003882
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 001001240
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0003882
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License Number State | CO
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