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General NPI Number Information
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NPI Number | 1992338016
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Entity Type | Individual
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Provider Name | MATTHEW ALLEN EVANS DNP, APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 8641 WILSHIRE BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2920
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Country | US
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Telephone | 310-657-9353
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Fax | 833-687-1439
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Provider Business Mailing Address
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Address Line | 8641 WILSHIRE BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2920
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Country | US
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Telephone | 310-657-9353
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Fax | 833-687-1439
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95098652
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 23710
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1116551
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 23710
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95028919
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License Number State | CA
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