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General NPI Number Information
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NPI Number | 1245628296
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Entity Type | Individual
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Provider Name | LAURA STEWART
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Gender | Female
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Dates
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Enumeration Date | 12/29/2014
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 376 NODINE ST APT 4A
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City | HASTINGS ON HUDSON
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State | NY
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Zip | 10706-2840
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Country | US
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Telephone | 917-545-4315
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Fax |
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Provider Business Mailing Address
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Address Line | 376 NODINE ST APT 4A
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City | HASTINGS ON HUDSON
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State | NY
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Zip | 10706-2840
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Country | US
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Telephone | 917-545-4315
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 025226
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7370
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License Number State | CT
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