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General NPI Number Information
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NPI Number | 1871657635
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Entity Type | Individual
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Provider Name | ANGELA MILLER EVANS MS, ED.S
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4322 E DESERT WILLOW PARKWAY
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City | CAVE CREEK
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State | AZ
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Zip | 85331
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Country | US
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Telephone | 480-575-2814
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 E GOLD DUST AVE 142
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-1461
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Country | US
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Telephone | 480-575-2814
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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