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General NPI Number Information
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NPI Number | 1992712640
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Entity Type | Individual
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Provider Name | ALICIA R CARTER MD
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 09/10/2023
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Provider Practice Location Address
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Address Line | 4770 BISCAYNE BLVD STE 1100
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City | MIAMI
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State | FL
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Zip | 33137-3247
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Country | US
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Telephone | 305-680-3527
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Fax | 305-675-0678
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Provider Business Mailing Address
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Address Line | 4779 COLLINS AVE APT 2106
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3255
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Country | US
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Telephone | 201-306-8861
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Fax | 305-675-0678
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 214129
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME135412
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License Number State | FL
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