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General NPI Number Information
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NPI Number | 1245410059
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Entity Type | Organization
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Legal Business Name | ROBERT T EVANS DPM PLC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 200 E LONE PINE DR
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City | PAYSON
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State | AZ
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Zip | 85541-5519
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Country | US
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Telephone | 928-474-9242
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Fax | 928-474-9241
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Provider Business Mailing Address
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Address Line | 200 E LONE PINE DR
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City | PAYSON
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State | AZ
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Zip | 85541-5519
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Country | US
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Telephone | 928-474-9242
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Fax | 928-474-9241
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ROBERT THOMAS EVANS
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Credential | DPM
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Telephone | 480-895-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0605
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License Number State | AZ
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