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General NPI Number Information
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NPI Number | 1306421011
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Entity Type | Individual
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Provider Name | ALEXANDER MAXWELL STEWART DMD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 4010 SANDY BROOK DR STE 204
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City | ROUND ROCK
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State | TX
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Zip | 78665-1518
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Country | US
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Telephone | 512-375-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 2906 WOOD BRIAR CT
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City | LOUISVILLE
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State | KY
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Zip | 40241-6254
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Country | US
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Telephone | 502-645-8828
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6001023-15
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39474
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License Number State | TX
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