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General NPI Number Information
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NPI Number | 1740401843
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Entity Type | Organization
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Legal Business Name | EVANS AND LYLE INC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 906 S MONROE ST
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City | SPOKANE
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State | WA
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Zip | 99204-3836
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Country | US
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Telephone | 509-838-3145
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Fax | 509-838-7438
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Provider Business Mailing Address
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Address Line | 906 S MONROE ST
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City | SPOKANE
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State | WA
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Zip | 99204-3836
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Country | US
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Telephone | 509-838-3145
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Fax | 509-838-7438
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | MR. WD LEWIS EVANS JR.
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Credential |
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Telephone | 509-838-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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