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General NPI Number Information
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NPI Number | 1144851734
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Entity Type | Individual
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Provider Name | ERICA EDWARDS NP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 83 MEMORIAL DR
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City | WINCHESTER
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State | TN
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Zip | 37398-2401
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Country | US
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Telephone | 931-967-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 188 NANCY LN
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City | ESTILL SPRINGS
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State | TN
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Zip | 37330-2200
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Country | US
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Telephone | 931-308-5348
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 27059
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License Number State | TN
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