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General NPI Number Information
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NPI Number | 1588197511
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Entity Type | Organization
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Legal Business Name | EVEXIA CONCEPTS, LLC
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 746 N 2ND ST
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City | EL CAJON
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State | CA
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Zip | 92021-5801
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Country | US
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Telephone | 619-588-2783
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Fax | 619-588-2784
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Provider Business Mailing Address
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Address Line | 746 N 2ND ST
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City | EL CAJON
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State | CA
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Zip | 92021-5801
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Country | US
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Telephone | 619-588-2783
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Fax | 619-588-2784
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Authorized Official
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Title or Position | CEO
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Name | SHANYN DEVINE
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Credential |
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Telephone | 888-999-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 374700182
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License Number State | CA
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