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General NPI Number Information
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NPI Number | 1902365612
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Entity Type | Individual
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Provider Name | JULIUS R EVANS
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Gender | Male
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 1330 MASSACHUSETTS AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20005-4155
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Country | US
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Telephone | 202-719-0807
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W READ ST APT 611
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City | BALTIMORE
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State | MD
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Zip | 21201-4913
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Country | US
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Telephone | 757-310-4175
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 08676
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT010001609
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License Number State | DC
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