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General NPI Number Information
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NPI Number | 1285950113
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Entity Type | Organization
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Legal Business Name | EDGE FAMILY CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 8124 PENSACOLA BLVD
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City | PENSACOLA
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State | FL
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Zip | 32534-4354
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Country | US
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Telephone | 850-476-7117
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Fax | 850-479-4622
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Provider Business Mailing Address
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Address Line | 8124 PENSACOLA BLVD
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City | PENSACOLA
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State | FL
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Zip | 32534-4354
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Country | US
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Telephone | 850-476-7117
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Fax | 850-479-4622
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GREGORY STEWART
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Credential |
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Telephone | 850-476-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0005258
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License Number State | FL
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