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General NPI Number Information
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NPI Number | 1578652236
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Entity Type | Individual
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Provider Name | DARRELL BRIAN EVANS SR. CRNA, NP
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 1240 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-538-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6097 MOUNTAIN BROOK RD
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City | GREENSBORO
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State | NC
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Zip | 27455-8384
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Country | US
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Telephone | 910-485-0065
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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 | 153174
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.0020116
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 153174
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License Number State | NC
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