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General NPI Number Information
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NPI Number | 1619115045
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Entity Type | Organization
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Legal Business Name | PURE HEALTHCARE LLC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7575 PARAGON RD
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City | DAYTON
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State | OH
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Zip | 45459-5316
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Country | US
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Telephone | 937-668-7873
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Fax | 888-965-4549
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Provider Business Mailing Address
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Address Line | 7575 PARAGON RD
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City | DAYTON
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State | OH
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Zip | 45459-5316
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Country | US
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Telephone | 937-668-7873
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Fax | 888-965-4549
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY EVANS
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Credential |
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Telephone | 937-269-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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