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General NPI Number Information
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NPI Number | 1891068011
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Entity Type | Organization
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Legal Business Name | EDWARDS MEDICAL
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Dates
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Enumeration Date | 02/18/2012
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Last Update Date | 10/18/2013
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Provider Practice Location Address
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Address Line | 101 ROUTE 130 S SUITE 426
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2845
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Country | US
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Telephone | 856-389-5137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 594
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-0594
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Country | US
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Telephone | 856-389-5137
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | LOETTA EDWARDS
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Credential |
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Telephone | 856-389-5137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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