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General NPI Number Information
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NPI Number | 1598218810
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Entity Type | Individual
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Provider Name | VERONICA EDWARDS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 606 CRYSTAL PL STE 3
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City | LA GRANGE
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State | KY
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Zip | 40031-1459
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Country | US
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Telephone | 502-535-2158
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Fax | 502-918-8099
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Provider Business Mailing Address
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Address Line | 309 11TH ST
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City | CARROLLTON
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State | KY
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Zip | 41008-1435
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Country | US
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Telephone | 502-732-3280
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Fax | 502-575-6234
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3012015
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28223288A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 28223288A
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License Number State | IN
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