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General NPI Number Information
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NPI Number | 1134306798
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Entity Type | Individual
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Provider Name | EVELYN MEYER CDS II, CDP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 111 W 39TH ST STE A
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City | VANCOUVER
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State | WA
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Zip | 98660-1974
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Country | US
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Telephone | 360-696-1023
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Fax | 360-696-0067
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Provider Business Mailing Address
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Address Line | 111 W 39TH ST STE A
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City | VANCOUVER
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State | WA
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Zip | 98660-1974
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Country | US
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Telephone | 360-696-1023
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Fax | 360-696-0067
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 060745
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License Number State | WA
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