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General NPI Number Information
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NPI Number | 1871601013
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Entity Type | Individual
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Provider Name | YOLANDA NICOLE EVANS MD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 4540 SAND POINT WAY NE SUITE 200
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City | SEATTLE
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State | WA
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Zip | 98105
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Country | US
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Telephone | 206-543-0065
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 NE PACIFIC ST C-212, BOX 356340
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City | SEATTLE
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State | WA
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Zip | 98195-6340
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Country | US
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Telephone | 206-543-0065
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ML20008455
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 60035584
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License Number State | WA
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