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General NPI Number Information
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NPI Number | 1184724338
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Entity Type | Individual
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Provider Name | JOHN H EDMUNDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 322 MULBERRY STREET, SW SUITE F
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City | LENOIR
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State | NC
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Zip | 28645-5703
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Country | US
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Telephone | 828-757-6462
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Fax | 828-757-6490
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Provider Business Mailing Address
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Address Line | 321 MULBERRY ST SW MEDICAL STAFF SERVICES
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City | LENOIR
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State | NC
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Zip | 28645-5720
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Country | US
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Telephone | 828-757-5965
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Fax | 828-757-5104
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 9500065
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License Number State | NC
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