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General NPI Number Information
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NPI Number | 1922411479
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Entity Type | Individual
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Provider Name | MATTHEW LEWIS CARTTER M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 410 CAPITOL AVE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
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City | HARTFORD
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State | CT
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Zip | 06106-1367
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Country | US
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Telephone | 860-509-7995
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Fax | 860-509-7910
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Provider Business Mailing Address
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Address Line | 410 CAPITOL AVE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
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City | HARTFORD
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State | CT
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Zip | 06106-1367
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Country | US
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Telephone | 860-509-7995
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Fax | 860-509-7910
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 026412
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License Number State | CT
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