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General NPI Number Information
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NPI Number | 1962117853
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Entity Type | Individual
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Provider Name | EVELINA KRAVCHUK PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 500 17TH AVE
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City | SEATTLE
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State | WA
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Zip | 98122-5711
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Country | US
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Telephone | 206-320-2000
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Fax | 206-386-2625
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61531915
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License Number State | WA
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