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General NPI Number Information
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NPI Number | 1942505573
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Entity Type | Organization
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Legal Business Name | DAVID A. CARPENTER,M.D.,P.A.
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 2850 LEWIS LN STE 113
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City | PARIS
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State | TX
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Zip | 75460-9378
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Country | US
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Telephone | 903-784-0410
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Fax | 903-784-0288
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Provider Business Mailing Address
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Address Line | 2850 LEWIS LN STE 113
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City | PARIS
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State | TX
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Zip | 75460-9378
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Country | US
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Telephone | 903-784-0410
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Fax | 903-784-0288
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ALLEN CARPENTER
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Credential | M.D.
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Telephone | 903-784-0410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D9385
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License Number State | TX
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