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Individual
DR. GARY L CARR
Active
Individual
DR. GARY L CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011006-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-1757494
TAX IDENTIFICATION NUMBER
NY
01
—
X011006-1
LICENSE
NY
Enumeration date
10/03/2006
Last updated
04/08/2008
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