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General NPI Number Information
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NPI Number | 1295914737
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Entity Type | Organization
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Legal Business Name | SHERIDAN SCOTT EVANS M.D.P.A.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 5605 VIRGINIA PKWY SUITE 4
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City | MCKINNEY
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State | TX
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Zip | 75071-5533
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Country | US
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Telephone | 972-548-5050
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Fax | 972-548-6901
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Provider Business Mailing Address
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Address Line | 5605 VIRGINIA PKWY SUITE 4
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City | MCKINNEY
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State | TX
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Zip | 75071-5533
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Country | US
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Telephone | 972-548-5050
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Fax | 972-548-6901
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | SHERIDAN SCOTT EVANS
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Credential | M.D.P.A.
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Telephone | 972-548-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | K9777
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License Number State | TX
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