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General NPI Number Information
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NPI Number | 1215116009
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Entity Type | Organization
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Legal Business Name | JOHN W. STEWART, JR. MD, INC.
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 224 W EXCHANGE ST STE 280
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City | AKRON
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State | OH
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Zip | 44302-1704
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Country | US
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Telephone | 330-384-1650
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Fax | 330-384-1651
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Provider Business Mailing Address
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Address Line | 224 W EXCHANGE ST STE 280
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City | AKRON
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State | OH
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Zip | 44302-1704
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Country | US
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Telephone | 330-384-1650
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Fax | 330-384-1651
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN W. STEWART JR.
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Credential | MD
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Telephone | 330-384-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | OH
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