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General NPI Number Information
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NPI Number | 1679206072
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Entity Type | Organization
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Legal Business Name | EVANS JM, LLC.
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 427 COCHRAN RD
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City | PITTSBURGH
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State | PA
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Zip | 15228-1211
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Country | US
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Telephone | 412-531-4800
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Fax | 412-531-7788
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Provider Business Mailing Address
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Address Line | 427 COCHRAN RD
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City | PITTSBURGH
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State | PA
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Zip | 15228-1211
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Country | US
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Telephone | 412-531-4800
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Fax | 412-531-7788
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA M EVANS
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Credential | D.C.
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Telephone | 412-531-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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