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General NPI Number Information
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NPI Number | 1407552557
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Entity Type | Individual
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Provider Name | REBECCA ELLEN STEWART APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 2108 S 54TH ST STE 1
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City | ROGERS
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State | AR
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Zip | 72758-8125
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Country | US
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Telephone | 479-396-5200
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Fax | 833-963-1060
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Provider Business Mailing Address
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Address Line | 602 ARCADIA DR
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City | BENTONVILLE
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State | AR
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Zip | 72712-3534
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Country | US
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Telephone | 479-616-0690
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | R041145
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R041145
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | R041145
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 222391
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222391
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License Number State | AR
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