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General NPI Number Information
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NPI Number | 1912058041
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Entity Type | Individual
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Provider Name | JANELLE MORGAN EVANS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1050 REID PKWY STE 325
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City | RICHMOND
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State | IN
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Zip | 47374-1161
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Country | US
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Telephone | 659-628-5517
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Fax | 765-962-2591
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Provider Business Mailing Address
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Address Line | 1100 REID PARKWAY MEDICAL STAFF SERVICES
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City | RICHMOND
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State | IN
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Zip | 47374
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Country | US
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Telephone | 765-983-3127
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 229963
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 35095645
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 95645
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 01093522A
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License Number State | IN
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