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General NPI Number Information
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NPI Number | 1154462539
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Entity Type | Individual
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Provider Name | ANDREW THOMAS STEWART D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 SOUTH TAN STREET
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City | FREDERICKSBURG
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State | PA
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Zip | 17026
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Country | US
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Telephone | 717-865-3457
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Fax | 717-865-2101
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | FREDERICKSBURG
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State | PA
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Zip | 17026-0069
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Country | US
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Telephone | 717-865-3457
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Fax | 717-865-2101
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 28749L
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License Number State | PA
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