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General NPI Number Information
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NPI Number | 1952023798
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Entity Type | Individual
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Provider Name | ANGELA MARIE EDWARDS D.MIN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 715 SUPERIOR AVE
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City | DAYTON
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State | OH
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Zip | 45402-6308
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Country | US
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Telephone | 937-210-9507
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Fax | 800-883-4139
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Provider Business Mailing Address
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Address Line | 717 SUPERIOR AVE
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City | DAYTON
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State | OH
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Zip | 45402-6308
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Country | US
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Telephone | 937-248-4047
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Fax | 800-883-4139
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 0000307808
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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