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General NPI Number Information
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NPI Number | 1609466226
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Entity Type | Individual
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Provider Name | CHERELLE EDWARDS NP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 647 N MILLER RD STE 200
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City | MANSFIELD
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State | TX
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Zip | 76063-6083
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Country | US
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Telephone | 817-415-9680
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Fax | 917-415-9669
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Provider Business Mailing Address
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Address Line | 8267 ELMBROOK DR STE 200
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City | DALLAS
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State | TX
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Zip | 75247-4078
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Country | US
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Telephone | 214-424-2200
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Fax | 214-231-2159
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1011826
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License Number State | TX
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