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General NPI Number Information
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NPI Number | 1912955758
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES EDMANDS D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 418 GRAND PARK DR STE 312
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City | PARKERSBURG
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State | WV
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Zip | 26105-4000
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Country | US
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Telephone | 304-422-3435
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Fax | 304-422-3430
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Provider Business Mailing Address
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Address Line | 416 COLEGATE DR BLDG 3
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City | MARIETTA
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State | OH
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Zip | 45750-9549
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Country | US
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Telephone | 740-374-3526
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Fax | 740-374-3165
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1952
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License Number State | WV
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