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General NPI Number Information
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NPI Number | 1326736927
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Entity Type | Individual
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Provider Name | JONATHAN ANDREW STEWART
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Gender | Male
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 313 LANSING ST STE 5
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City | CHARLOTTE
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State | MI
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Zip | 48813-1675
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Country | US
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Telephone | 313-308-8839
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Fax |
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Provider Business Mailing Address
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Address Line | 19 EAST AVE N
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City | BATTLE CREEK
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State | MI
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Zip | 49017-5519
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Country | US
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Telephone | 269-808-6148
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6851092957
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License Number State |
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