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General NPI Number Information
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NPI Number | 1922248848
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Entity Type | Organization
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Legal Business Name | EDGEWOOD PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 225 EDGEWOOD DRIVE EXT
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City | TRANSFER
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State | PA
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Zip | 16154-1817
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Country | US
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Telephone | 724-646-7246
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Fax | 724-646-0413
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Provider Business Mailing Address
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Address Line | 239 EDGEWOOD DRIVE EXT
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City | TRANSFER
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State | PA
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Zip | 16154-1817
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Country | US
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Telephone | 800-223-5544
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Fax | 724-294-3206
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Authorized Official
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Title or Position | CHAIRMAN
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Name | KURTIS GRAMLEY
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Credential |
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Telephone | 724-646-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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