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General NPI Number Information
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NPI Number | 1003165069
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Entity Type | Individual
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Provider Name | DIAN EVANS J.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 7000 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-4876
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Country | US
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Telephone | 212-724-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 MAGAZINE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-4876
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Country | US
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Telephone | 212-724-5555
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019178
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1198
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1179
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 019178
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 019178
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35SI00556200
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 1198
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 1179
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License Number State | LA
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