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General NPI Number Information
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NPI Number | 1275656555
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Entity Type | Individual
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Provider Name | AMY L STEWART MPT
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 4171 LAS PALMAS SQUARE
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City | SAN DIEGO
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State | CA
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Zip | 91945
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Country | US
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Telephone | 858-646-3415
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Fax | 858-677-9818
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Provider Business Mailing Address
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Address Line | 4171 LAS PALMAS SQUARE
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City | SAN DIEGO
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State | CA
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Zip | 91945
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Country | US
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Telephone | 858-646-3415
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Fax | 858-677-9818
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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 | PT 29381
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT29381
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License Number State | CA
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