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NPI 1699227306

NPI 1699227306 : DR. STEVEN EVENS DDS : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1699227306
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. STEVEN EVENS DDS 
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Dates
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    Enumeration Date     |    10/28/2016
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    Last Update Date     |    10/28/2016
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Provider Practice Location Address
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    Address Line         |    5311 PATTERSON AVE 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23226-2041
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    Country              |    US
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    Telephone            |    804-282-6665
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5311 PATTERSON AVE 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23226-2041
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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    |    DENTIST
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    Name                 |     STEVEN  EVENS 
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    Credential           |    
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    Telephone            |    804-282-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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