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General NPI Number Information
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NPI Number | 1538679147
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Entity Type | Individual
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Provider Name | EVBU EVELY OSUNDE RN, BSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1115 E ARKANSAS LANE SUITE B
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City | ARLINGTON
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State | TX
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Zip | 76010
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Country | US
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Telephone | 817-385-9799
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Fax | 817-385-9881
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Provider Business Mailing Address
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Address Line | 2213 MURPHY DR APT 1916
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City | BEDFORD
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State | TX
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Zip | 76021-5976
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Country | US
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Telephone | 972-352-1764
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP135759
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License Number State | TX
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