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General NPI Number Information
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NPI Number | 1326383050
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Entity Type | Individual
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Provider Name | CHLORA LEIGH EVANS R.N
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 300 TWINING ST BLDG 760
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City | MONTGOMERY
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State | AL
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Zip | 36112-6027
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Country | US
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Telephone | 334-953-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 300 TWINING ST BLDG 760
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City | MONTGOMERY
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State | AL
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Zip | 36112-6027
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Country | US
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Telephone | 334-953-5270
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Fax | 334-953-3258
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 1-038997
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 1-038997
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 1-038997
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-038997
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License Number State | AL
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