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General NPI Number Information
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NPI Number | 1326860057
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Entity Type | Organization
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Legal Business Name | EVENLY MID-CENTRAL, P.C.
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 1619 CONNECTICUT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20009-1013
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Country | US
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Telephone | 800-500-0493
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Fax |
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Provider Business Mailing Address
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Address Line | 7250 WOODMONT AVE STE 330
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City | BETHESDA
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State | MD
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Zip | 20814-3057
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Country | US
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Telephone | 800-500-0493
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN WALKER
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Credential | DDS
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Telephone | 786-877-7666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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