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General NPI Number Information
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NPI Number | 1780342675
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Entity Type | Individual
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Provider Name | BANISHA MONAY EVANS CPT LL
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Gender | Female
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 8674 NEMEA WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-3444
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Country | US
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Telephone | 510-859-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 8674 NEMEA WAY
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City | ELK GROVE
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State | CA
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Zip | 95624-3444
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Country | US
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Telephone | 510-859-6555
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | CPA02209141
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License Number State | CA
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