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General NPI Number Information
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NPI Number | 1023003308
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Entity Type | Individual
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Provider Name | DAVID WAYNE STEWART MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 209 OLD WATERFORD RD NW
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City | LEESBURG
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State | VA
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Zip | 20176-2116
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Country | US
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Telephone | 703-779-9300
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Fax | 703-779-9733
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Provider Business Mailing Address
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Address Line | 209 OLD WATERFORD RD NW
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City | LEESBURG
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State | VA
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Zip | 20176-2116
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Country | US
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Telephone | 703-779-9300
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Fax | 703-779-9733
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101234440
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License Number State | VA
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