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General NPI Number Information
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NPI Number | 1801171244
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Entity Type | Individual
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Provider Name | SARAH ALLISON EVANS RPH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 10302 W EMERALD ST
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City | BOISE
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State | ID
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Zip | 83704-8988
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Country | US
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Telephone | 208-713-3528
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Fax | 208-378-1322
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Provider Business Mailing Address
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Address Line | 10302 W EMERALD ST
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City | BOISE
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State | ID
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Zip | 83704-8988
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Country | US
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Telephone | 208-713-3528
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Fax | 208-378-1322
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20938
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 216367
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-110099
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P5820
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License Number State | ID
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