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General NPI Number Information
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NPI Number | 1386942795
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Entity Type | Individual
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Provider Name | DR. MARION G EVANS
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Gender | Male
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 9305 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-7511
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Country | US
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Telephone | 865-691-2216
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Fax |
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Provider Business Mailing Address
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Address Line | 9305 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-7511
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Country | US
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Telephone | 865-691-2216
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10654
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I-12125
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS42126
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License Number State | FL
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