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General NPI Number Information
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NPI Number | 1639975402
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Entity Type | Individual
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Provider Name | EVA STILLS COS, CT, RH, MNIMH
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3035 LEGION RD STE 106
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-4004
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Country | US
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Telephone | 910-476-4786
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Fax |
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Provider Business Mailing Address
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Address Line | 634 LOCUST GROVE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-3211
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Country | US
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Telephone | 910-476-4786
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | C87634
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License Number State | NC
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