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General NPI Number Information
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NPI Number | 1659016921
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Entity Type | Individual
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Provider Name | ASIA MAHOGANY EDWARDS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 251 S CLAYBROOK ST STE A206
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City | MEMPHIS
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State | TN
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Zip | 38104-3539
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Country | US
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Telephone | 901-516-7509
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Fax | 901-516-7430
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Provider Business Mailing Address
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Address Line | 251 S CLAYBROOK ST STE A206
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City | MEMPHIS
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State | TN
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Zip | 38104-3539
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Country | US
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Telephone | 901-516-7509
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Fax | 901-516-7430
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 72616
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 72616
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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