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General NPI Number Information
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NPI Number | 1992905608
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Entity Type | Individual
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Provider Name | WENDY WILSON CARTER D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 10 N GREENE ST 2C-118 MEDICAL STAFF OFFICE, BALTIMORE VA MED CENTER
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City | BALTIMORE
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State | MD
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Zip | 21201-1524
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Country | US
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Telephone | 410-605-7487
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Fax |
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Provider Business Mailing Address
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Address Line | 10903 NEW HAMPSHIRE AVE FDA/WO-22/RM 6325
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City | SILVER SPRING
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State | MD
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Zip | 20903-1058
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Country | US
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Telephone | 301-796-1500
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | H0063789
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License Number State | MD
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