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General NPI Number Information
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NPI Number | 1780539825
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Entity Type | Individual
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Provider Name | EMELE EVANS
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Gender |
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 431 HIGHWAY 53 E STE 250
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City | CALHOUN
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State | GA
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Zip | 30701-3058
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Country | US
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Telephone | 706-403-2901
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Fax |
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Provider Business Mailing Address
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Address Line | 431 HIGHWAY 53 E STE 250
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City | CALHOUN
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State | GA
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Zip | 30701-3058
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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 |
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | PT016945
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License Number State | GA
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