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General NPI Number Information
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NPI Number | 1710286331
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Entity Type | Individual
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Provider Name | EVAN SCOTT MINIOR MSN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 10/31/2013
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Provider Practice Location Address
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Address Line | 1672 S COUNTY TRL SUITE 302
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City | EAST GREENWICH
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State | RI
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Zip | 02818-5098
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Country | US
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Telephone | 401-336-3770
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Fax | 401-336-3773
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Provider Business Mailing Address
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Address Line | 618 WOOD ST
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City | SOMERSET
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State | MA
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Zip | 02726-3321
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Country | US
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Telephone | 774-526-0931
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NPP37648
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2261011
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License Number State | MA
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