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General NPI Number Information
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NPI Number | 1902073000
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Entity Type | Individual
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Provider Name | EDWARD KING RN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 130 W KINGSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10468-3904
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Country | US
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Telephone | 718-584-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 705 SATURN DR
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City | EFFORT
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State | PA
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Zip | 18330-9766
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Country | US
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Telephone | 570-629-8811
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 304037
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License Number State | NY
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