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General NPI Number Information
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NPI Number | 1700592706
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Entity Type | Individual
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Provider Name | EVA BARLOWE
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Gender | Female
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 640 SUMMIT CROSSING PL STE 203
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City | GASTONIA
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State | NC
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Zip | 28054-2142
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Country | US
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Telephone | 704-237-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 105 VISTA DR
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City | CLINTON
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State | NC
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Zip | 28328-3055
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-12207
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License Number State | NC
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