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General NPI Number Information
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NPI Number | 1134572985
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Entity Type | Individual
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Provider Name | RANDI EDWARDS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 8005 CREIGHTON PKWY STE C STE 234
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4594
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Country | US
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Telephone | 804-839-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 7854 HAMPTON FOREST LN
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City | CHESTERFIELD
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State | VA
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Zip | 23832-1974
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Country | US
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Telephone | 804-286-2456
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904008756
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License Number State | VA
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