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General NPI Number Information
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NPI Number | 1891011417
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Entity Type | Organization
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Legal Business Name | C Y EDWARDS MD PC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 3376 S EASTERN AVE STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89169-3380
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Country | US
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Telephone | 702-672-9982
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 400310
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City | LAS VEGAS
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State | NV
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Zip | 89140-0310
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Country | US
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Telephone | 702-672-9982
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERYL YVONNE EDWARDS
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Credential | M.D.
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Telephone | 702-672-9982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 12986
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License Number State | NV
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