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General NPI Number Information
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NPI Number | 1780984484
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Entity Type | Individual
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Provider Name | LOUELLA M. EDWARDS-FRYE APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 8541 HIGHWAY 178 STE C
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City | BYHALIA
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State | MS
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Zip | 38611-9670
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Country | US
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Telephone | 662-850-3002
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Fax | 877-583-5013
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Provider Business Mailing Address
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Address Line | 8541 HIGHWAY 178 STE C
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City | BYHALIA
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State | MS
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Zip | 38611-9670
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Country | US
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Telephone | 662-850-3002
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Fax | 877-583-5013
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 904052
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License Number State | MS
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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 | 28066
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904052
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License Number State | MS
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