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General NPI Number Information
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NPI Number | 1326904764
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Entity Type | Individual
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Provider Name | MICHAELA STEWART LPN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1420 DONELSON PIKE STE B19
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City | NASHVILLE
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State | TN
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Zip | 37217-2999
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Country | US
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Telephone | 629-895-5376
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Fax |
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Provider Business Mailing Address
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Address Line | 2135 WATERSIDE DR UNIT 531
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City | NASHVILLE
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State | TN
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Zip | 37207-3154
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 99860
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License Number State | TN
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