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General NPI Number Information
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NPI Number | 1992945679
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Entity Type | Organization
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Legal Business Name | EVANT INC.
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 105 N THOMAS RD
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City | TALLMADGE
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State | OH
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Zip | 44278-1712
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Country | US
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Telephone | 330-633-5058
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Fax |
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Provider Business Mailing Address
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Address Line | 2251 FRONT ST SUITE 200
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-2567
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Country | US
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Telephone | 330-920-1517
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Fax | 330-920-1016
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SHERRY D. GEDEON
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Credential |
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Telephone | 330-920-1517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 7714067
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License Number State | OH
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