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General NPI Number Information
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NPI Number | 1225583008
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Entity Type | Individual
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Provider Name | JOSHUA RAYMOND STEWART DPT
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Gender | Male
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 600 OPP DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4493
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Country | US
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Telephone | 850-301-1935
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Fax | 850-301-1937
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Provider Business Mailing Address
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Address Line | 1756 NW 73RD AVE
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City | ANKENY
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State | IA
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Zip | 50023-9371
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Country | US
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Telephone | 319-238-1908
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 31890
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License Number State | FL
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