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General NPI Number Information
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NPI Number | 1174188544
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Entity Type | Individual
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Provider Name | PAUL HOUSTON STEWART PA
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Gender | Male
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Dates
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Enumeration Date | 05/01/2019
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 11603 MIDLOTHIAN TPKE
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2620
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Country | US
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Telephone | 804-378-3739
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3548
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City | AUGUSTA
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State | GA
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Zip | 30914-3548
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Country | US
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Telephone | 706-863-9595
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Fax | 706-447-7184
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112732
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9635
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 8224
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110007202
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License Number State | VA
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