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General NPI Number Information
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NPI Number | 1467186254
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Entity Type | Organization
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Legal Business Name | EVENCARE CONSULTING LLC
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 1000 N BELT LINE RD STE 201
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City | IRVING
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State | TX
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Zip | 75061-4000
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Country | US
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Telephone | 214-631-9992
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Fax | 214-894-1301
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Provider Business Mailing Address
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Address Line | 1000 N BELT LINE RD STE 201
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City | IRVING
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State | TX
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Zip | 75061-4000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ESTHER BORO
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Credential | NP
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Telephone | 214-631-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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