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General NPI Number Information
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NPI Number | 1588773543
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Entity Type | Individual
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Provider Name | LENA D. EDWARDS MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 4800 N FEDERAL HWY SUITE B103
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City | BOCA RATON
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State | FL
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Zip | 33431-5188
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Country | US
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Telephone | 561-257-2968
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Fax | 561-771-4196
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Provider Business Mailing Address
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Address Line | PO BOX 4305
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City | DEERFIELD BCH
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State | FL
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Zip | 33442-4305
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Country | US
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Telephone | 561-257-2968
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Fax | 561-771-4196
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 33162
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME115415
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License Number State | FL
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