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General NPI Number Information
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NPI Number | 1174072664
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Entity Type | Individual
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Provider Name | EVA CHRISTINA CARBONE DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 6455 MACHINE ST
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City | ABERDEEN PROVING GROUND
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State | MD
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Zip | 21005-5213
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Country | US
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Telephone | 410-278-6837
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Fax |
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Provider Business Mailing Address
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Address Line | 694 CONCORD POINT DR
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City | PERRYVILLE
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State | MD
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Zip | 21903-2568
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Country | US
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Telephone | 443-567-8868
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R196121
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | R196121
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License Number State | MD
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