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General NPI Number Information
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NPI Number | 1043212962
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Entity Type | Individual
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Provider Name | JAMES D EVANS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 3322 EMMAUS RD
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City | HARRISONBURG
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State | VA
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Zip | 22801-2685
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Country | US
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Telephone | 540-433-2431
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Fax | 540-433-9825
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Provider Business Mailing Address
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Address Line | PO BOX 1430
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City | HARRISONBURG
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State | VA
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Zip | 22803-1430
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Country | US
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Telephone | 540-437-7989
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Fax | 540-437-7984
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101026345
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License Number State | VA
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