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General NPI Number Information
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NPI Number | 1255225603
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Entity Type | Organization
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Legal Business Name | EDGE FAMILY DENTAL P.A.
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 5604 PGA BLVD STE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3831
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Country | US
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Telephone | 561-627-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 5604 PGA BLVD STE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3831
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Country | US
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Telephone | 561-627-7090
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. AARON EDGE
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Credential | DMD
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Telephone | 850-324-5713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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