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General NPI Number Information
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NPI Number | 1316884729
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Entity Type | Organization
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Legal Business Name | EVOKE WELLNESS
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Dates
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Enumeration Date | 05/02/2026
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Last Update Date | 05/02/2026
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Provider Practice Location Address
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Address Line | 2616 W COLORADO AVE STE 15
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3073
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Country | US
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Telephone | 719-323-4691
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Fax |
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Provider Business Mailing Address
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Address Line | 3103 HUDSON ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-2942
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Country | US
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Telephone | 719-323-4691
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JOE OLIVAREZ
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Credential |
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Telephone | 718-323-4691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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