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General NPI Number Information
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NPI Number | 1205975802
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Entity Type | Organization
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Legal Business Name | DR. KEVIN P. STEWART, M.D. OPHTHALMOLOGY P.L.L.C.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 117 E 7TH ST 1E
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City | NEW YORK
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State | NY
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Zip | 10009-5743
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Country | US
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Telephone | 646-763-2263
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Fax | 212-533-0741
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Provider Business Mailing Address
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Address Line | 117 E 7TH ST 1E
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City | NEW YORK
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State | NY
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Zip | 10009-5743
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Country | US
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Telephone | 646-763-2263
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Fax | 212-533-0741
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KHARIS RIEVE KENNEDY
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Credential |
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Telephone | 646-763-2263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 226054
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License Number State | NY
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