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General NPI Number Information
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NPI Number | 1316879125
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Entity Type | Individual
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Provider Name | ALEXIS STEWART DPT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 201 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-3407
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Country | US
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Telephone | 859-394-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 420 LAKEVIEW DR UNIT 104
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City | WILDER
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State | KY
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Zip | 41071-5317
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Country | US
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Telephone | 859-609-1274
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP055520T
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License Number State | OH
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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 | 009496
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License Number State | KY
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