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General NPI Number Information
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NPI Number | 1538585708
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Entity Type | Individual
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Provider Name | ELIZABETH EVANS CMT, NCTMB
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Gender | Female
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 20045 STEVENS CREEK BLVD STE 2B
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City | CUPERTINO
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State | CA
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Zip | 95014-2356
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Country | US
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Telephone | 408-446-3128
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Fax |
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Provider Business Mailing Address
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Address Line | 123 FLYNN AVE APT A
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-3945
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Country | US
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Telephone | 650-793-1410
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number | 37129
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License Number State | CA
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