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Individual
DR. PATRICE ANNE CARROLL
Active
Individual
DR. PATRICE ANNE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10013911-6554
CDPHP
NY
01
—
CO5065-0DC
WORKERS COMPENSATION
NY
01
—
X39861
BCBS
NY
Enumeration date
12/30/2006
Last updated
04/13/2010
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