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General NPI Number Information
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NPI Number | 1093010860
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Entity Type | Organization
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Legal Business Name | KEVIN L STEWART, MD, PA
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 812 W 8TH ST SUITE 3B
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City | PLAINVIEW
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State | TX
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Zip | 79072-7931
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Country | US
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Telephone | 806-291-8346
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Fax | 806-291-8347
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Provider Business Mailing Address
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Address Line | 812 W 8TH ST SUITE 3B
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City | PLAINVIEW
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State | TX
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Zip | 79072-7931
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Country | US
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Telephone | 806-291-8346
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Fax | 806-291-8347
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN L STEWART
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Credential | M.D.
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Telephone | 806-252-2120
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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 | H5806
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License Number State | TX
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