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General NPI Number Information
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NPI Number | 1942798053
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Entity Type | Individual
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Provider Name | DANIEL EVANS MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 1000 E MAIN ST
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City | DANVILLE
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State | IN
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Zip | 46122-1948
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Country | US
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Telephone | 317-745-4451
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Fax | 317-718-6740
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Provider Business Mailing Address
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Address Line | LINN COUNTY EMERGENCY MEDICINE P.C. 701 10TH ST SE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01082622A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11019751A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-48222
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License Number State | IA
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