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General NPI Number Information
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NPI Number | 1831439744
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Entity Type | Individual
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Provider Name | FRANK OWEN EVANS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2013
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 220 E MONTGOMERY ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-3533
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Country | US
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Telephone | 478-452-5167
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E MONTGOMERY ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-3533
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Country | US
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Telephone | 478-452-5167
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 12249
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 83983
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License Number State | NC
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