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General NPI Number Information
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NPI Number | 1689440588
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Entity Type | Individual
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Provider Name | ALEXANDRA EDWARDS NP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 234 S 12TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-4325
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Country | US
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Telephone | 601-426-4745
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Fax | 601-518-7128
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Provider Business Mailing Address
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Address Line | 234 S 12TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-4325
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Country | US
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Telephone | 601-426-4745
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Fax | 601-518-7128
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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 | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | 907779
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 913438
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License Number State | MS
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