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General NPI Number Information
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NPI Number | 1033479878
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Entity Type | Individual
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Provider Name | CHRISTOPHER OWEN EDWARDS MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 4 GLEN COVE DR STE 201
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City | ROCKPORT
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State | ME
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Zip | 04856-4238
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Country | US
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Telephone | 207-301-5757
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Fax | 207-301-5357
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Provider Business Mailing Address
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Address Line | 4 GLEN COVE DR STE 201
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City | ROCKPORT
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State | ME
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Zip | 04856-4238
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Country | US
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Telephone | 207-301-5757
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Fax | 207-301-5357
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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 | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | MD29131
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD.208015
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD29131
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License Number State | ME
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