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General NPI Number Information
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NPI Number | 1942376785
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Entity Type | Individual
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Provider Name | WILLIAM R CARTER JR. R.PH
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Gender | Male
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2012 WHITESBURG DR S
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4542
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Country | US
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Telephone | 256-534-6438
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Fax | 256-533-5640
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Provider Business Mailing Address
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Address Line | 5086 LOST POND CIR
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763
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Country | US
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Telephone | 256-539-4382
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 9452
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License Number State | AL
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