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General NPI Number Information
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NPI Number | 1386314672
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Entity Type | Individual
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Provider Name | ALEXANDRIA STEWART PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2345 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-2151
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Country | US
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Telephone | 704-865-0077
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Fax |
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Provider Business Mailing Address
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Address Line | 7521 HEATHMORE PL APT 202
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City | GERMANTOWN
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State | TN
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Zip | 38138-2040
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0000013024
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License Number State | TN
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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 | P22148
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License Number State | NC
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