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General NPI Number Information
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NPI Number | 1164671137
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Entity Type | Individual
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Provider Name | CHERRIE EVANS FNP-C, APRN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | ONE MISSION LANE STE. 1 NAVAJO MISSION
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City | ROCK POINT
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State | AZ
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Zip | 86545
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Country | US
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Telephone | 928-659-4116
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Fax | 928-659-4115
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | ROCK POINT
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State | AZ
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Zip | 86545-0127
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Country | US
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Telephone | 928-659-4116
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Fax | 928-659-4115
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 220449-8900
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3264
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License Number State | AZ
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