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General NPI Number Information
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NPI Number | 1013172451
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Entity Type | Individual
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Provider Name | TERESA MARIE EVANS ND, ARNP-CNM
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Gender | Female
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 984 QUARTZ DR SW
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City | NORTH BEND
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State | WA
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Zip | 98045-9133
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Country | US
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Telephone | 206-372-6191
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Fax | 206-374-2591
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Provider Business Mailing Address
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Address Line | 984 QUARTZ DR SW
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City | NORTH BEND
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State | WA
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Zip | 98045-9133
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Country | US
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Telephone | 206-372-6191
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Fax | 206-374-2591
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT 60020664
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW60071418
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License Number State | WA
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