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General NPI Number Information
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NPI Number | 1083989610
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER B STEWART DPM PC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 600 PETER JEFFERSON PKWY STE 305
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8835
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Country | US
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Telephone | 434-244-0763
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Fax | 434-979-0307
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Provider Business Mailing Address
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Address Line | 600 PETER JEFFERSON PKWY STE 360
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8837
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Country | US
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Telephone | 434-979-0456
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Fax | 434-979-0307
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER B STEWART
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Credential | DPM
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Telephone | 434-244-0763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0103001028
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License Number State | VA
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