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Individual
EDITH EDDE
Active
Individual
EDITH EDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
3453
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370013831
RR MEDICARE
AZ
Enumeration date
02/08/2006
Last updated
05/29/2008
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