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General NPI Number Information
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NPI Number | 1891830915
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Entity Type | Individual
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Provider Name | GINA GEORGETTE EDWARDS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 507 N ASH ST
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City | HILLSBORO
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State | KS
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Zip | 67063-1102
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Country | US
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Telephone | 620-947-3784
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Fax | 620-947-2801
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Provider Business Mailing Address
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Address Line | 323 N BIRCH ST
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City | HILLSBORO
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State | KS
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Zip | 67063-1134
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Country | US
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Telephone | 620-947-2036
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-12854
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License Number State | KS
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