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General NPI Number Information
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NPI Number | 1871882795
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Entity Type | Individual
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Provider Name | KENESSA B EDWARDS MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 70 DUBOIS STREET ST. LUKES HOSPITAL
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City | NEWBURGH
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State | NY
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Zip | 12550
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Country | US
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Telephone | 845-561-4400
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Fax | 585-368-3219
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Provider Business Mailing Address
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Address Line | 2 CATHARINE STREET, P.O. BOX 550 MID-HUDSON ANESTHESIOLOGISTS, PC
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City | POUGHKEEPSIE
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State | NY
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Zip | 12602
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Country | US
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Telephone | 866-885-2318
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Fax | 845-790-2675
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 273126-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 273126
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 273126-1
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License Number State | NY
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