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General NPI Number Information
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NPI Number | 1720899883
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Entity Type | Individual
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Provider Name | LUKE STEPHEN EDWARDS FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 500 ARCADE AVE STE 320
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City | ELKHART
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State | IN
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Zip | 46514-2477
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Country | US
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Telephone | 574-523-7900
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Fax | 574-523-7909
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Provider Business Mailing Address
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Address Line | 28519 YARIAN ST
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City | NAPPANEE
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State | IN
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Zip | 46550-9343
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Country | US
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Telephone | 574-261-3887
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28248443A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71016366A
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License Number State | IN
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