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General NPI Number Information
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NPI Number | 1538473673
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Entity Type | Individual
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Provider Name | EVA MARIA EWERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 650 HUEBNER RD # 3
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City | FT RILEY
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State | KS
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Zip | 66442-4030
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Country | US
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Telephone | 785-239-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 650 HUEBNER RD # 3
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City | FT RILEY
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State | KS
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Zip | 66442-4030
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Country | US
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Telephone | 785-307-4298
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-27319
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License Number State | KS
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