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General NPI Number Information
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NPI Number | 1316834963
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Entity Type | Organization
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Legal Business Name | EVERNORTH DIRECT HEALTH LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 7025 ALBERT PICK RD STE 400
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City | GREENSBORO
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State | NC
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Zip | 27409-9519
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Country | US
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Telephone | 512-851-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 8888 E RAINTREE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3951
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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 | FINANCIAL ANALYSIS SENIOR MANAGER
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Name | DEBORAH SUE COOLIDGE
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Credential |
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Telephone | 623-277-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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