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General NPI Number Information
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NPI Number | 1952475576
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Entity Type | Individual
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Provider Name | ANNE MCDONALD CARROL M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 36000 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4625
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Country | US
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Telephone | 216-831-3494
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Fax | 216-831-4595
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Provider Business Mailing Address
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Address Line | 3619 PARK EAST DR SUITE 311
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City | BEACHWOOD
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State | OH
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Zip | 44122-4330
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Country | US
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Telephone | 216-831-3494
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Fax | 216-831-4595
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.060318
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License Number State | OH
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