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General NPI Number Information
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NPI Number | 1982888426
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Entity Type | Organization
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Legal Business Name | DR LARRY CARTER OPTOMETRIST PA
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 1925 MILITARY ST S
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City | HAMILTON
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State | AL
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Zip | 35570-6611
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Country | US
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Telephone | 205-921-7426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1807
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City | HAMILTON
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State | AL
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Zip | 35570-1807
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Country | US
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Telephone | 205-921-7426
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY CARTER
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Credential | O.D.
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Telephone | 205-921-7426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S353TA002
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License Number State | AL
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