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NPI 1174631113

NPI 1174631113 : JAMES EUGENE EDWARDS MD : SAVANNAH, GA

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General NPI Number Information
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    NPI Number           |    1174631113
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES EUGENE EDWARDS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/29/2006
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    Last Update Date     |    03/11/2022
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Provider Practice Location Address
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    Address Line         |    601 E 66TH ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31405-4519
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    Country              |    US
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    Telephone            |    912-662-0088
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    Fax                  |    912-264-0979
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Provider Business Mailing Address
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    Address Line         |    601 E 66TH ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31405-4519
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    Country              |    US
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    Telephone            |    912-662-0088
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    Fax                  |    912-264-0979
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    ME142617
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    16229
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    License Number State |    SC
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Taxonomy #3
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    042-0015754
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    License Number State |    VT
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Taxonomy #4
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    314619
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    License Number State |    NY
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Taxonomy #5
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    16229
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    License Number State |    SC
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Taxonomy #6
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    86746
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    License Number State |    GA
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Taxonomy #7
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    ME142617
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    License Number State |    FL
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