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General NPI Number Information
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NPI Number | 1760557151
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Entity Type | Individual
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Provider Name | LEDA W.Z. EDWARDS PA
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 09/22/2024
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Provider Practice Location Address
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Address Line | 5105 E SAHARA AVE STE 134
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City | LAS VEGAS
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State | NV
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Zip | 89142-2989
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Country | US
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Telephone | 702-534-0081
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Fax | 702-534-0685
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Provider Business Mailing Address
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Address Line | 5105 E SAHARA AVE STE 134
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City | LAS VEGAS
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State | NV
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Zip | 89142-2989
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Country | US
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Telephone | 702-375-7683
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA964
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License Number State | NV
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