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General NPI Number Information
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NPI Number | 1245941954
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Entity Type | Individual
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Provider Name | EMINE EVANS APN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 528 SEVEN BRIDGE RD UNIT 132
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7618
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Country | US
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Telephone | 570-218-7476
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Fax | 806-304-1152
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Provider Business Mailing Address
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Address Line | 498 S RIVER ST
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City | WILKES BARRE
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State | PA
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Zip | 18702-3724
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Country | US
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Telephone | 201-282-8202
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ01400300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP031781
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License Number State | PA
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