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General NPI Number Information
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NPI Number | 1851712152
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Entity Type | Individual
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Provider Name | MARGARET EVANOW M.S., L.P.C.C.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2014
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Last Update Date | 02/08/2020
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Provider Practice Location Address
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Address Line | 1421 E. COOLEY DR. STE. 9
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City | COLTON
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State | CA
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Zip | 92324
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Country | US
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Telephone | 909-723-3887
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Fax | 909-352-2477
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Provider Business Mailing Address
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Address Line | 1269 W 31ST ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-1913
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Country | US
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Telephone | 909-723-3887
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 378
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License Number State | CA
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