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General NPI Number Information
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NPI Number | 1174796510
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Entity Type | Organization
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Legal Business Name | STEWART MONES, MD LLC
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 90 OAKLEIGH LN
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City | EUGENE
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State | OR
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Zip | 97404
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Country | US
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Telephone | 541-653-9700
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Fax | 541-653-9715
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Provider Business Mailing Address
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Address Line | 90 OAKLEIGH LN
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City | EUGENE
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State | OR
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Zip | 97404
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Country | US
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Telephone | 541-653-9700
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Fax | 541-653-9715
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STEWART L MONES
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Credential | MD
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Telephone | 541-914-5035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number | MD21303
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | MD21303
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD21303
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License Number State | OR
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