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General NPI Number Information
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NPI Number | 1659595478
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Entity Type | Individual
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Provider Name | JUANITA EDWARDS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 21216 NORTHWEST FWY STE 280
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City | CYPRESS
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State | TX
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Zip | 77429-0017
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Country | US
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Telephone | 281-517-0060
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Fax | 281-475-2045
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Provider Business Mailing Address
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Address Line | P.O. BOX 106 DEPT #701
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City | HOUSTON
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State | TX
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Zip | 77001-0106
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Country | US
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Telephone | 281-517-0060
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Fax | 281-475-2045
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | M7161
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | M7161
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License Number State | TX
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