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General NPI Number Information
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NPI Number | 1083168637
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Entity Type | Individual
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Provider Name | EVE USAWASDI WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2016
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 2802 141ST ST APT. 5E
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City | FLUSHING
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State | NY
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Zip | 11354-1672
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Country | US
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Telephone | 646-704-1086
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 141ST ST APT. 5E
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City | FLUSHING
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State | NY
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Zip | 11354-1672
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Country | US
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Telephone | 646-704-1086
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F421223
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License Number State | NY
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