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General NPI Number Information
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NPI Number | 1962471409
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Entity Type | Individual
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Provider Name | EDWARD PIERSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1000 DUTCH RIDGE RD
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City | BEAVER
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State | PA
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Zip | 15009-9727
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Country | US
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Telephone | 724-773-4525
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Fax |
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Provider Business Mailing Address
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Address Line | 13705 SOUTH AVE
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City | COLUMBIANA
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State | OH
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Zip | 44408-9762
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Country | US
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Telephone | 330-429-0047
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35064756
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 051545L
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License Number State | PA
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