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General NPI Number Information
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NPI Number | 1902028335
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Entity Type | Individual
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Provider Name | BRADLEY HAROLD EDWARDS MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 25 HOSPITAL CENTER BLVD
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2793
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Country | US
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Telephone | 843-681-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 119 AMBULANCE DR SUITE 202
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City | CARROLLTON
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State | GA
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Zip | 30117-3857
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Country | US
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Telephone | 770-812-5730
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 91940
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 064533
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License Number State | GA
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