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General NPI Number Information
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NPI Number | 1750890711
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Entity Type | Individual
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Provider Name | EVERTON MITCHELL JR.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 118 BERGER AVE
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City | SYRACUSE
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State | NY
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Zip | 13205-1704
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Country | US
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Telephone | 917-645-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 118 BERGER AVE
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City | SYRACUSE
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State | NY
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Zip | 13205-1704
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Country | US
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Telephone | 917-645-7990
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 876870981
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License Number State | NY
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Legacy Identifiers
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Identifier #1
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Identifier Code | 822836297
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Identifier Type | MEDICAID
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Identifier State | NY
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 822836297
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Identifier Type | MEDICAID
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Identifier State | NY
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Identifier Issuer |
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