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General NPI Number Information
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NPI Number | 1639299753
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Entity Type | Individual
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Provider Name | JOANNE EVANS RN, APRN, BC, HNC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4506
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Country | US
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Telephone | 240-566-3521
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Fax |
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Provider Business Mailing Address
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Address Line | 10937 WICKSHIRE WAY
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City | ROCKVILLE
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State | MD
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Zip | 20852-3220
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Country | US
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Telephone | 301-881-2616
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | R070927
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License Number State | MD
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