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General NPI Number Information
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NPI Number | 1366085953
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Entity Type | Individual
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Provider Name | MRS. ASHLEY P EVANS
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Gender | Female
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 510 AUSTIN AVE STE 25515
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City | WACO
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State | TX
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Zip | 76701-2117
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Country | US
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Telephone | 254-230-4345
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Fax | 706-243-4254
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Provider Business Mailing Address
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Address Line | 231 WOODHAVEN TRL
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City | MC GREGOR
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State | TX
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Zip | 76657-4135
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Country | US
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Telephone | 706-905-9327
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 919501
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1060086
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License Number State | TX
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