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General NPI Number Information
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NPI Number | 1730007675
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Entity Type | Organization
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Legal Business Name | EVERGRACE HEALTH GROUP PLLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 477 SE RIVERSIDE DR
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City | STUART
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State | FL
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Zip | 34994-2584
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Country | US
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Telephone | 845-597-3206
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Fax |
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST PMB 912121
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City | MIAMI
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State | FL
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Zip | 33179-3899
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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 | AUTHORIZED OFFICIAL
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Name | SRI RAMESH EEVANI
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Credential | DR.
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Telephone | 908-720-5815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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