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General NPI Number Information
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NPI Number | 1891041422
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Entity Type | Individual
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Provider Name | MATTHEW CARRIER
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Gender | Male
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 2655 NEBRASKA AVE
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City | PALM HARBOR
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State | FL
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Zip | 34684-2630
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Country | US
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Telephone | 727-785-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 1484 SEAGULL DR 305
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City | PALM HARBOR
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State | FL
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Zip | 34685-3460
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Country | US
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Telephone | 901-490-5818
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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