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General NPI Number Information
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NPI Number | 1275477309
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Entity Type | Individual
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Provider Name | NEYSA STEWART
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 4751 GEORGIA ST
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City | GARY
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State | IN
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Zip | 46409-2621
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Country | US
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Telephone | 219-237-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 453 E 78TH PL
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5657
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Country | US
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Telephone | 219-677-2696
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 30004734A
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License Number State | IN
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