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General NPI Number Information
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NPI Number | 1922267558
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Entity Type | Individual
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Provider Name | COURTNEY A CARNES P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 4206 STAMMER PL
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City | NASHVILLE
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State | TN
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Zip | 37215-3302
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Country | US
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Telephone | 961-580-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 132 BROOKVIEW CIR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-7066
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Country | US
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Telephone | 615-804-6602
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT4324
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT19153
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT047534
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License Number State | LA
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