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General NPI Number Information
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NPI Number | 1245538420
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Entity Type | Individual
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Provider Name | MARLA M EVANS CNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2011
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 5225 MORNING SUN RD
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City | OXFORD
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State | OH
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Zip | 45056-8929
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Country | US
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Telephone | 513-523-2158
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Fax | 513-523-0019
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Provider Business Mailing Address
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Address Line | 5225 MORNING SUN RD
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City | OXFORD
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State | OH
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Zip | 45056-8929
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Country | US
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Telephone | 513-523-2158
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Fax | 513-523-0019
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71003590A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN.CNP.0037303
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License Number State | OH
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