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General NPI Number Information
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NPI Number | 1801276365
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Entity Type | Individual
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Provider Name | DONALD EVANS
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Gender | Male
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Dates
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Enumeration Date | 05/31/2015
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Last Update Date | 05/31/2015
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Provider Practice Location Address
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Address Line | 537 ANN ARBOR RD W
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City | PLYMOUTH
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State | MI
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Zip | 48170-2227
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Country | US
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Telephone | 734-667-5679
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Fax | 734-667-5681
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Provider Business Mailing Address
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Address Line | 537 ANN ARBOR RD W
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City | PLYMOUTH
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State | MI
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Zip | 48170-2227
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Country | US
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Telephone | 734-667-5679
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Fax | 734-667-5681
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501007516
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License Number State | MI
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