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General NPI Number Information
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NPI Number | 1568017911
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH EDWARDS PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 470 HIGHWAY 421 N
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City | BEDFORD
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State | KY
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Zip | 40006-8690
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Country | US
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Telephone | 502-255-7732
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Fax | 502-235-3970
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Provider Business Mailing Address
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Address Line | 470 HIGHWAY 421 N
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City | BEDFORD
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State | KY
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Zip | 40006-8690
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Country | US
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Telephone | 502-255-7732
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Fax | 502-255-3970
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-09510
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3641
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10003743A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3819
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License Number State | SC
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