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General NPI Number Information
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NPI Number | 1982915518
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Entity Type | Individual
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Provider Name | EDITH EDWARDS
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Gender | Female
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 6412 N UNIVERSITY DR SUITE #114
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City | TAMARAC
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State | FL
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Zip | 33321-4055
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Country | US
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Telephone | 954-726-6722
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Fax | 954-726-6723
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Provider Business Mailing Address
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Address Line | 2361 NW 63RD AVE
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City | SUNRISE
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State | FL
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Zip | 33313-2922
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Country | US
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Telephone | 954-732-5693
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA 94106
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License Number State | FL
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