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General NPI Number Information
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NPI Number | 1306819065
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Entity Type | Organization
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Legal Business Name | SCOTT A. EDWARDS, MD & ASSOC. P.A.
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200A E VINE ST
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City | SALISBURY
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State | MD
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Zip | 21804-5516
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Country | US
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Telephone | 410-543-1943
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Fax | 410-543-0658
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Provider Business Mailing Address
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Address Line | 200A E VINE ST
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City | SALISBURY
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State | MD
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Zip | 21804-5516
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Country | US
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Telephone | 410-543-1943
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Fax | 410-543-0658
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SCOTT ANDREW EDWARDS
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Credential | M.D.
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Telephone | 410-543-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0045485
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License Number State | MD
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