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General NPI Number Information
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NPI Number | 1629223607
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Entity Type | Organization
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Legal Business Name | JOHN A EVANS, MD, PA
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 414 NAVARRO ST STE 1128
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2516
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Country | US
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Telephone | 210-351-6500
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Fax | 210-351-6509
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Provider Business Mailing Address
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Address Line | PO BOX 8797
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City | BELFAST
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State | ME
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Zip | 04915-8797
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Country | US
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Telephone | 210-351-6500
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Fax | 210-351-6509
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Authorized Official
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Title or Position | NURSE PRACTICIONER
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Name | CHRISTINE MADRID
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Credential | FNP
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Telephone | 210-351-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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