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General NPI Number Information
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NPI Number | 1396710349
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Entity Type | Individual
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Provider Name | DIANE STEWART D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 3982 BEE RIDGE RD STE H STE HH
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City | SARASOTA
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State | FL
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Zip | 34233-1211
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Country | US
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Telephone | 941-927-3734
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Fax |
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Provider Business Mailing Address
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Address Line | 6238 BUCKINGHAM ST
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City | SARASOTA
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State | FL
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Zip | 34238-2757
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Country | US
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Telephone | 941-927-3734
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 3307-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 9121
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License Number State | FL
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