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General NPI Number Information
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NPI Number | 1033023296
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Entity Type | Individual
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Provider Name | AJAYLA EVINS PH.D., CRC, NCC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 269 YORK ST APT 2502
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City | NORFOLK
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State | VA
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Zip | 23510-1551
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Country | US
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Telephone | 912-501-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 269 YORK ST APT 2502
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City | NORFOLK
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State | VA
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Zip | 23510-1551
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Country | US
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Telephone | 912-501-9204
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | APC010954
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0704017792
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 631721
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License Number State | NULL
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