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General NPI Number Information
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NPI Number | 1063020808
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Entity Type | Individual
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Provider Name | JULIE STEWART
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Gender | Female
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 317 6TH AVE STE 400
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City | DES MOINES
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State | IA
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Zip | 50309-4108
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Country | US
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Telephone | 641-780-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 534 GREENHOWE DR
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City | LITITZ
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State | PA
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Zip | 17543-9054
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Country | US
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Telephone | 914-960-3831
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP022222
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License Number State | PA
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