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General NPI Number Information
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NPI Number | 1982221156
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEE EDMONDSON APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 104 NW STATE ROUTE 7 STE B
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-2749
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Country | US
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Telephone | 816-229-8880
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Fax | 816-229-4363
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Provider Business Mailing Address
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Address Line | 308 NE FOX TRAIL DR
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City | BLUE SPRINGS
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State | MO
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Zip | 64014-1779
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Country | US
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Telephone | 816-215-5790
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020019954
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License Number State | MO
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