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General NPI Number Information
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NPI Number | 1942869458
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Entity Type | Organization
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Legal Business Name | EVES OUTREACH LLC
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Dates
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Enumeration Date | 06/08/2019
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Last Update Date | 06/08/2019
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Provider Practice Location Address
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Address Line | 5227 EAGLE CREEK DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1575
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Country | US
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Telephone | 704-727-5507
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Fax |
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Provider Business Mailing Address
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Address Line | 5227 EAGLE CREEK DR
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City | CHARLOTTE
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State | NC
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Zip | 28269-1575
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Country | US
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Telephone | 704-727-5507
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | YVONNE EVINS SAUNDERS
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Credential |
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Telephone | 704-724-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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