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General NPI Number Information
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NPI Number | 1477521086
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Entity Type | Individual
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Provider Name | JAMES HERRON EDWARDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 342 MULE ACADEMY RD
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2256
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Country | US
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Telephone | 540-221-6723
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Fax | 540-221-6748
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Provider Business Mailing Address
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Address Line | PO BOX 153
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City | FISHERSVILLE
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State | VA
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Zip | 22939-0153
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Country | US
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Telephone | 540-221-6723
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Fax | 540-221-6748
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 0101245058
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME42113
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License Number State | FL
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