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General NPI Number Information
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NPI Number | 1164387452
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Entity Type | Individual
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Provider Name | VICTORIA-KATE EVANS
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 135 BAYWOOD LN
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City | VILLA RICA
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State | GA
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Zip | 30180-3854
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Country | US
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Telephone | 943-231-8136
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Fax |
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Provider Business Mailing Address
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Address Line | 6974 SPRINGWOOD DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1543
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Country | US
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Telephone | 943-231-8136
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN306660
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License Number State | GA
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