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General NPI Number Information
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NPI Number | 1720363831
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Entity Type | Individual
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Provider Name | KEVIN JOSEPH EDWARDS MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3635 NE 1ST AVE APT 1903
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City | MIAMI
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State | FL
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Zip | 33137-3663
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Country | US
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Telephone | 304-584-3538
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 NE 1ST AVE APT 1903
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City | MIAMI
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State | FL
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Zip | 33137-3663
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Country | US
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Telephone | 304-584-3538
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01097999A
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License Number State | IN
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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 | 60608
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 119327
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License Number State | FL
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