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General NPI Number Information
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NPI Number | 1891855565
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Entity Type | Individual
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Provider Name | STEVEN C EVANS PHARM D
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10992 SAN DIEGO MISSION RD HOME HEALTH PHARMACY
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City | SAN DIEGO
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State | CA
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Zip | 92108-2444
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Country | US
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Telephone | 619-641-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 14050 DAVENPORT AVE
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City | SAN DIEGO
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State | CA
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Zip | 92129-3104
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Country | US
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Telephone | 858-484-4586
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH31053
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License Number State | CA
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