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NPI 1043619612

NPI 1043619612 : DR. VERONA STEWART : STUART, FL

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General NPI Number Information
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    NPI Number           |    1043619612
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    Entity Type          |    Individual 
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    Provider Name        |    DR. VERONA STEWART
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2014
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    Last Update Date     |    06/16/2021
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Provider Practice Location Address
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    Address Line         |    200 SE HOSPITAL AVE 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34994
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    Country              |    US
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    Telephone            |    772-223-5618
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    Fax                  |    772-288-5834
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Provider Business Mailing Address
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    Address Line         |    PO BOX 417 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34995-0417
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    Country              |    US
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    Telephone            |    772-223-5618
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    Fax                  |    772-288-5834
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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        |    364SF0001X
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    Taxonomy Name        |    Family Health Clinical Nurse Specialist
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    License Number       |    9209073
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    APRN9209073
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    License Number State |    FL
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