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NPI 1831608918

NPI 1831608918 : EMILY SHONK EDWARDS DO PC : STAUNTON, VA

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General NPI Number Information
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    NPI Number           |    1831608918
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMILY SHONK EDWARDS DO PC 
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Dates
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    Enumeration Date     |    09/21/2017
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    2009 N AUGUSTA ST STE B 
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    City                 |    STAUNTON
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    State                |    VA
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    Zip                  |    24401-2436
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    Country              |    US
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    Telephone            |    540-765-8177
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    Fax                  |    877-852-8642
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Provider Business Mailing Address
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    Address Line         |    2009 N AUGUSTA ST STE B 
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    City                 |    STAUNTON
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    State                |    VA
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    Zip                  |    24401-2436
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    Country              |    US
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    Telephone            |    540-569-2834
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    Fax                  |    877-852-8642
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     EMILY SHONK EDWARDS 
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    Credential           |    DO
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    Telephone            |    540-569-2834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    0102202642
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    License Number State |    VA
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