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General NPI Number Information
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NPI Number | 1306344916
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Entity Type | Individual
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Provider Name | NICOLE STUART PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 2189 CLEVELAND ST STE 227
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City | CLEARWATER
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State | FL
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Zip | 33765-3234
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Country | US
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Telephone | 727-478-3196
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Fax | 727-221-5312
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Provider Business Mailing Address
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Address Line | 2189 CLEVELAND ST STE 227
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City | CLEARWATER
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State | FL
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Zip | 33765-3234
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Country | US
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Telephone | 727-478-3196
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Fax | 727-221-5312
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY11503
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License Number State | FL
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