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Individual
DR. JASON EDWARDS
Active
Individual
DR. JASON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
303790
NY
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
125.073489
IL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
303790
NY
Other
Enumeration date
05/12/2015
Last updated
07/17/2026
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