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General NPI Number Information
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NPI Number | 1982492591
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Entity Type | Individual
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Provider Name | COLTAN EDWARDS MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1005 DR D B TODD JR BLVD
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City | NASHVILLE
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State | TN
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Zip | 37208
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Country | US
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Telephone | 615-327-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 WHITING DR SE
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City | ST PETERSBURG
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State | FL
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Zip | 33705-4061
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Country | US
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Telephone | 407-461-2671
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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