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General NPI Number Information
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NPI Number | 1629936364
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Entity Type | Organization
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Legal Business Name | EVO MD PLLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4008 E PIMA ST
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City | TUCSON
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State | AZ
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Zip | 85712-3317
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Country | US
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Telephone | 520-379-7728
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Fax | 520-372-0053
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Provider Business Mailing Address
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Address Line | PO BOX 43100
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City | TUCSON
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State | AZ
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Zip | 85733-3100
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Country | US
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Telephone | 520-379-7728
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Fax | 520-372-0053
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Authorized Official
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Title or Position | OWNER
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Name | ELISE T VO
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Credential | MD
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Telephone | 520-379-7728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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