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General NPI Number Information
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NPI Number | 1780983817
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Entity Type | Organization
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Legal Business Name | EDMONDS & WOOD ORTHODONTICS, P.A.
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 2949 SW WANAMAKER DR
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City | TOPEKA
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State | KS
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Zip | 66614-5325
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Country | US
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Telephone | 785-272-6161
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Fax | 785-272-4627
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Provider Business Mailing Address
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Address Line | 2949 SW WANAMAKER DR
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City | TOPEKA
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State | KS
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Zip | 66614-5325
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Country | US
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Telephone | 785-272-6161
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Fax | 785-272-4627
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SCOTT B EDMONDS
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Credential | DDS, MS
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Telephone | 785-272-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5538
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License Number State | KS
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