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General NPI Number Information
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NPI Number | 1427260736
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Entity Type | Organization
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Legal Business Name | SARAH STEWART
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17 PLEASANT ST
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City | NORWICH
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State | NY
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Zip | 13815-1211
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Country | US
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Telephone | 607-334-6109
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Fax |
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Provider Business Mailing Address
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Address Line | 17 PLEASANT ST
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City | NORWICH
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State | NY
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Zip | 13815-1211
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Country | US
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Telephone | 607-334-6109
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MRS. SARAH STEWART
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Credential |
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Telephone | 607-334-6109
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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 | 256008-1
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License Number State | NY
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