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General NPI Number Information
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NPI Number | 1952422404
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Entity Type | Individual
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Provider Name | AVA MARIE EAVES R.D.,C.D.E.
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 801 EASTERN BYPASS
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City | RICHMOND
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State | KY
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Zip | 40475-2751
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Country | US
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Telephone | 859-625-3151
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Fax | 859-625-3535
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Provider Business Mailing Address
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Address Line | 801 EKU BYPASS PO BOX1600
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City | RICHMOND
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State | KY
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Zip | 40475-7859
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Country | US
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Telephone | 859-625-3151
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Fax | 859-625-3535
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | KY-0428
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License Number State | KY
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