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NPI 1982788162

NPI 1982788162 : KAREN L CARTER DC : PONCHATOULA, LA

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General NPI Number Information
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    NPI Number           |    1982788162
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN L CARTER DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/25/2006
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    Last Update Date     |    10/03/2017
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Provider Practice Location Address
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    Address Line         |    1120 HWY 51 
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    City                 |    PONCHATOULA
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    State                |    LA
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    Zip                  |    70454
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    Country              |    US
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    Telephone            |    985-370-8600
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    Fax                  |    985-370-8060
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Provider Business Mailing Address
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    Address Line         |    1120 HIGHWAY 51 
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    City                 |    PONCHATOULA
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    State                |    LA
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    Zip                  |    70454-6365
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    Country              |    US
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    Telephone            |    985-370-8600
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1084
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    License Number State |    LA
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