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General NPI Number Information
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NPI Number | 1306494539
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Entity Type | Individual
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Provider Name | ASHLEY EVANS NP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 111 MAIN ST STE B
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City | WINTERS
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State | CA
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Zip | 95694-1930
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Country | US
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Telephone | 530-795-4591
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 829320
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License Number State | CA
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