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General NPI Number Information
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NPI Number | 1912983206
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Entity Type | Individual
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Provider Name | JASON E EDLING M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 7521 WHITE CASTLE LN
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City | PLANO
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State | TX
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Zip | 75025-3715
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Country | US
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Telephone | 972-523-8510
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Fax | 719-888-1681
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Provider Business Mailing Address
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Address Line | 7521 WHITE CASTLE LN
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City | PLANO
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State | TX
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Zip | 75025-3715
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Country | US
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Telephone | 972-523-8510
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Fax | 719-888-1681
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.142221
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD61590759
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | H0324
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD-23443
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01094258A
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License Number State | IN
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