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General NPI Number Information
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NPI Number | 1982906897
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Entity Type | Individual
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Provider Name | JUDITH M CARMAN RN
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Gender | Female
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 7400 MERTON MINTER BOULEVARD
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-237-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 440 MOORES MILL ROAD
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City | RIDGEWAY
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State | VA
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Zip | 24148
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Country | US
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Telephone | 480-353-8990
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 0001303560
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License Number State | VA
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