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General NPI Number Information
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NPI Number | 1255844619
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Entity Type | Individual
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Provider Name | LASHONDA EDWARDS PCA
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 4920 HARD SCRABBLE RD APT 406
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City | COLUMBIA
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State | SC
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Zip | 29229-9368
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Country | US
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Telephone | 803-238-5341
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Fax | 803-708-0000
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Provider Business Mailing Address
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Address Line | 4920 HARD SCRABBLE RD APT 406
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City | COLUMBIA
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State | SC
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Zip | 29229-9368
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Country | US
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Telephone | 803-238-5341
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Fax | 803-708-0000
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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