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General NPI Number Information
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NPI Number | 1154463453
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Entity Type | Individual
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Provider Name | PAUL A EVELYN CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE ROAD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-351-1745
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Fax | 404-351-7121
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Provider Business Mailing Address
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Address Line | 1984 PEACHTREE RD NW STE 515
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City | ATLANTA
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State | GA
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Zip | 30309-5219
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Country | US
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Telephone | 470-271-6163
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CRNA106322
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License Number State | GA
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