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General NPI Number Information
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NPI Number | 1033386172
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Entity Type | Individual
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Provider Name | SHIRONDA NAKIA STEWART MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 28100 GRAND RIVER AVE STE 314S
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-5967
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Country | US
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Telephone | 947-521-1549
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD STE 3D
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301088705
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4301088705
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License Number State | MI
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