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General NPI Number Information
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NPI Number | 1295970952
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Entity Type | Organization
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Legal Business Name | PATRICK J EDWARDS MD PA
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 2600 LOCKWOOD SUITE C
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City | TAHOKA
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State | TX
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Zip | 79373
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Country | US
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Telephone | 806-998-5501
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Fax | 806-561-5504
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Provider Business Mailing Address
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Address Line | PO BOX 1480 2600 LOCKWOOD SUITE C
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City | TAHOKA
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State | TX
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Zip | 79373-1480
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Country | US
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Telephone | 806-998-5501
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Fax | 806-561-5504
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK JAMES EDWARDS
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Credential | M.D.
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Telephone | 806-998-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 207Q00000X
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License Number State | TX
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