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General NPI Number Information
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NPI Number | 1154426633
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Entity Type | Organization
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Legal Business Name | STANLEY C EVANS, DO, PA
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 3105 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6887
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Country | US
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Telephone | 940-383-3444
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Fax | 940-383-2224
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Provider Business Mailing Address
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Address Line | 3105 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6887
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Country | US
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Telephone | 940-383-3444
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Fax | 940-383-2224
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Authorized Official
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Title or Position | BILLING/INS MANAGER
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Name | KAREN GLOVER
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Credential |
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Telephone | 940-383-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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