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General NPI Number Information
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NPI Number | 1801480587
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Entity Type | Organization
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Legal Business Name | EDITA INCORPORATED
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 7620 HICKMAN RD
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City | WINDSOR HEIGHTS
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State | IA
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Zip | 50324-4510
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Country | US
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Telephone | 515-650-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 1904 HARDING ST
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City | CLEARWATER
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State | FL
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Zip | 33765-2429
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Country | US
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Telephone | 813-540-2457
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | CHARLES SAMUEL SCAVO
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Credential |
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Telephone | 813-540-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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