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General NPI Number Information
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NPI Number | 1366555096
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Entity Type | Individual
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Provider Name | JONATHAN TAYLOR STEWART MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD
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City | BAY PINES
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-398-9548
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Provider Business Mailing Address
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Address Line | 1900 FOLLOW THRU RD N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-3726
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Country | US
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Telephone | 727-398-6661
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Fax | 727-398-9548
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME41542
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME41542
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License Number State | FL
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