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General NPI Number Information
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NPI Number | 1164959250
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Entity Type | Individual
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Provider Name | MARIAH CLOUD STEWART MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 7191 CAHABA VALLEY RD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6443
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Country | US
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Telephone | 205-408-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 3487 TAL WOOD DR
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City | HOOVER
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State | AL
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Zip | 35216-5233
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Country | US
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Telephone |
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 2415
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2415
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License Number State | AL
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