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General NPI Number Information
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NPI Number | 1245868405
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Entity Type | Individual
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Provider Name | TREY MORGAN EDWARDS DPM
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1505 PROFESSIONAL CT
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City | DALTON
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State | GA
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Zip | 30720-2500
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Country | US
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Telephone | 706-259-6882
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Fax | 706-259-3786
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Provider Business Mailing Address
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Address Line | 4101 CHARLOTTE AVE STE F185
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City | NASHVILLE
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State | TN
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Zip | 37209-4066
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Country | US
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Telephone | 678-426-2171
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD001549
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License Number State | GA
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