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General NPI Number Information
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NPI Number | 1649765363
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Entity Type | Individual
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Provider Name | DR. LEVIA N EVERSLEY
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Gender | Female
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 601 HAMILTON AVE
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City | TRENTON
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State | NJ
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Zip | 08629-1915
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Country | US
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Telephone | 609-599-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 191
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City | EAST ORANGE
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State | NJ
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Zip | 07019-0191
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03930000
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License Number State | NJ
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