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General NPI Number Information
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NPI Number | 1871609537
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Entity Type | Organization
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Legal Business Name | RICARDO TDD CARTER MD LLC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 310 ELECTRIC AVE SUITE 231
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City | LEWISTOWN
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State | PA
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Zip | 17044-1369
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Country | US
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Telephone | 717-242-3760
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Fax | 717-242-6230
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Provider Business Mailing Address
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Address Line | 310 ELECTRIC AVE SUITE 231
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City | LEWISTOWN
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State | PA
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Zip | 17044-1369
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Country | US
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Telephone | 717-242-3760
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Fax | 717-242-6230
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICARDO TDD CARTER
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Credential | MD
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Telephone | 717-242-3760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD041163E
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License Number State | PA
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