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General NPI Number Information
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NPI Number | 1467316489
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Entity Type | Individual
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Provider Name | AULORA MONAY EDWARDS
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Gender |
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 270 TRACE COLONY PARK DR STE B
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City | RIDGELAND
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State | MS
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Zip | 39157-8810
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Country | US
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Telephone | 813-926-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SUGARMAPLE CT
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City | OXFORD
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State | GA
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Zip | 30054-3047
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Country | US
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Telephone | 770-731-7370
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Fax |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-460083
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License Number State | GA
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