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General NPI Number Information
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NPI Number | 1881471811
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Entity Type | Individual
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Provider Name | AMBER LATRICE CARTER LMT,CPT,CRP,C-MLD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 23106 BARRINGTON BLUFF TRL
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City | SPRING
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State | TX
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Zip | 77373-2018
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Country | US
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Telephone | 678-515-6593
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 FOUNTAIN VIEW DR # 1297
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City | HOUSTON
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State | TX
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Zip | 77057-3206
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Country | US
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Telephone | 678-515-6593
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT138794
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License Number State | TX
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