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General NPI Number Information
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NPI Number | 1619797842
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Entity Type | Individual
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Provider Name | EVAN DRINKWATER APRN
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Gender | Male
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 300 FLYNN AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-5301
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Country | US
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Telephone | 802-488-6000
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Fax | 802-488-6919
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Provider Business Mailing Address
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Address Line | 115 SOUTHCREST DR
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City | BURLINGTON
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State | VT
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Zip | 05401-5372
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Country | US
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Telephone | 207-975-2488
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 101.0137165
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License Number State | VT
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