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General NPI Number Information
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NPI Number | 1396434601
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Entity Type | Individual
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Provider Name | EVERTH PAOLA ACHIM PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/18/2024
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Provider Practice Location Address
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Address Line | 3101 S AUSTIN AVE
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City | GEORGETOWN
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State | TX
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Zip | 78626-7541
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Country | US
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Telephone | 512-819-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 PLEASANT HILL RD APT 8112
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City | LEANDER
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State | TX
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Zip | 78641
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Country | US
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Telephone | 915-867-8311
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1117222
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License Number State | TX
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