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General NPI Number Information
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NPI Number | 1215246467
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Entity Type | Organization
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Legal Business Name | DONALD B. EDWARDS, D.D.S., P.A.
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 927 37TH PL SUITE C2
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City | VERO BEACH
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State | FL
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Zip | 32960
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Country | US
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Telephone | 772-567-3500
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Fax | 772-567-8627
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Provider Business Mailing Address
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Address Line | 927 37TH PL SUITE C2
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City | VERO BEACH
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State | FL
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Zip | 32960-4873
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Country | US
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Telephone | 772-567-3500
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Fax | 772-567-8627
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Authorized Official
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Title or Position | DR.
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Name | DONALD EDWARDS
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Credential | D.D.S.
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Telephone | 772-567-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN7683
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License Number State | FL
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