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General NPI Number Information
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NPI Number | 1871234237
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Entity Type | Organization
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Legal Business Name | EDWFNP LLC
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 661 HELEN KELLER BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2963
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Country | US
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Telephone | 205-301-0769
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Fax | 205-891-8143
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Provider Business Mailing Address
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Address Line | 661 HELEN KELLER BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2963
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Country | US
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Telephone | 205-301-0769
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Fax | 205-891-8143
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Authorized Official
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Title or Position | BILLING DEPARTMENT
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Name | RACHEL DURROUGH
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Credential |
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Telephone | 205-887-0624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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