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General NPI Number Information
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NPI Number | 1144281353
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Entity Type | Individual
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Provider Name | DEAN ERNEST EVANS PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 11924 FOREST HILL BLVD # 10A-243
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City | WELLINGTON
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State | FL
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Zip | 33414-6256
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Country | US
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Telephone | 561-693-5143
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Fax | 561-245-9150
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Provider Business Mailing Address
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Address Line | 5200 N FLAGLER DR #2303
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2755
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Country | US
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Telephone | 561-842-0156
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Fax | 561-842-0156
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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