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General NPI Number Information
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NPI Number | 1376835462
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Entity Type | Organization
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Legal Business Name | EDGE MEDICAL SOLUTIONS, INC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1141 N LOOP 1604 E STE 105187
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1339
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Country | US
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Telephone | 800-348-4623
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 N LOOP 1604 E # 105187
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1339
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Country | US
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Telephone | 800-348-4623
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Fax | 866-399-0991
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Authorized Official
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Title or Position | CEO
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Name | STACY LEWIS
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Credential | CPM, LM
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Telephone | 800-348-4623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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