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General NPI Number Information
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NPI Number | 1871704502
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Entity Type | Organization
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Legal Business Name | PATRICIA A CARROLL, M.D.P.C
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 13640 N 99TH AVE SUITE 300
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City | SUN CITY
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State | AZ
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Zip | 85351-2861
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Country | US
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Telephone | 623-875-2600
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Fax | 623-875-2621
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Provider Business Mailing Address
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Address Line | 13640 N 99TH AVE SUITE 300
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City | SUN CITY
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State | AZ
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Zip | 85351-2861
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Country | US
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Telephone | 623-875-2600
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Fax | 623-875-2621
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA ANN CARROLL
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Credential | MD
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Telephone | 623-875-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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