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General NPI Number Information
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NPI Number | 1225115876
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Entity Type | Individual
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Provider Name | KENDAL LANCE STEWART M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 11719 BEE CAVE RD. #204
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City | BEE CAVE
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State | TX
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Zip | 78738-5543
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Country | US
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Telephone | 512-338-9840
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Fax | 512-338-0863
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Provider Business Mailing Address
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Address Line | 11719 BEE CAVE RD. #204
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City | AUSTIN
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State | TX
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Zip | 78738-5543
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Country | US
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Telephone | 512-338-9840
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Fax | 512-338-0863
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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 | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | H6632
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License Number State | TX
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