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General NPI Number Information
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NPI Number | 1942367073
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Entity Type | Individual
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Provider Name | CHRIS H EVANS M.S., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 08/23/2009
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Provider Practice Location Address
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Address Line | 1096 GLEN EDYTH DR
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City | WEBSTER
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State | NY
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Zip | 14580-1706
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Country | US
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Telephone | 585-671-9925
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Fax |
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Provider Business Mailing Address
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Address Line | 1096 GLEN EDYTH DR
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City | WEBSTER
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State | NY
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Zip | 14580-1706
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Country | US
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Telephone | 585-671-9925
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 000141-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000004028
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License Number State | NY
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