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General NPI Number Information
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NPI Number | 1043252505
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Entity Type | Individual
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Provider Name | EDWARD PAYSON DAUGHERTY DO
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Gender | Male
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 151 NARROWS PKWY SUITE 110
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8637
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Country | US
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Telephone | 205-444-9550
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Fax | 205-314-3360
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Provider Business Mailing Address
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Address Line | 15582 HIGHWAY 280 STE 106
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City | CHELSEA
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State | AL
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Zip | 35043-8361
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Country | US
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Telephone | 205-678-3924
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Fax | 205-678-3383
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO408
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License Number State | AL
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