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General NPI Number Information
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NPI Number | 1154110856
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Entity Type | Individual
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Provider Name | CASSIDY STEWART
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 501 N 12TH ST STE 1
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City | CENTERVILLE
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State | IA
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Zip | 52544-1439
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Country | US
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Telephone | 641-856-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 25424 250TH AVE
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City | CENTERVILLE
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State | IA
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Zip | 52544-8536
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Country | US
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Telephone | 785-220-5677
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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 | 117341
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License Number State | IA
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