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General NPI Number Information
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NPI Number | 1942468426
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Entity Type | Individual
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Provider Name | SOPHIA MAE EDWARDS-BENNETT MD, PH.D
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Gender | Female
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1400 HAL GREER BLVD
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City | HUNTINGTON
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State | WV
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Zip | 25701-4114
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Country | US
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Telephone | 304-399-6500
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Fax | 304-399-6621
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Provider Business Mailing Address
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Address Line | 1340 HAL GREER BLVD
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City | HUNTINGTON
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State | WV
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Zip | 25701-3804
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Country | US
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Telephone | 304-399-6500
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Fax | 304-399-6621
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | TL34483
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME108066
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD34483
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 24405-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 34473
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License Number State | WV
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