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General NPI Number Information
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NPI Number | 1295732519
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Entity Type | Individual
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Provider Name | MARGARET A EVANS D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 95 UNIVERSITY AVE SUITE 8
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City | DES MOINES
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State | IA
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Zip | 50314-3120
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Country | US
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Telephone | 515-643-0688
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Fax | 515-643-6439
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | DES MOINES
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State | IA
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Zip | 50305-1475
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Country | US
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Telephone | 515-643-0688
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Fax | 515-643-6439
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 46545
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3449
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License Number State | IA
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