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General NPI Number Information
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NPI Number | 1740261502
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Entity Type | Individual
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Provider Name | GEORGE A EDWARDS MD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 4911 S ARROWHEAD DR #300
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City | INDEPENDENCE
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State | MO
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Zip | 64055
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Country | US
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Telephone | 816-767-3263
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Fax |
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Provider Business Mailing Address
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Address Line | 10301 HICKMAN MILLS DR #100
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City | KANSAS CITY
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State | MS
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Zip | 64131
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Country | US
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Telephone | 816-767-3263
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MDR9D67
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License Number State | MO
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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 | 04-19992
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License Number State | KS
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