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General NPI Number Information
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NPI Number | 1134911977
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Entity Type | Individual
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Provider Name | REBECCA STEWART
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 913 NW GARDEN VALLEY BLVD
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City | ROSEBURG
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State | OR
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Zip | 97471-6523
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Country | US
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Telephone | 541-671-7020
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Fax |
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Provider Business Mailing Address
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Address Line | 803 SE KANE ST
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City | ROSEBURG
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State | OR
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Zip | 97470-3909
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Country | US
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Telephone | 913-972-3333
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13928
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License Number State | KS
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