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General NPI Number Information
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NPI Number | 1427282367
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Entity Type | Individual
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Provider Name | BRENDA KAY STEWART WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 2731 MLK JR BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-5235
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Country | US
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Telephone | 205-349-3250
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Fax | 205-345-3993
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Provider Business Mailing Address
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Address Line | 657 HELEN KELLER BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35404-2983
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Country | US
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Telephone | 205-799-5848
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Fax | 205-344-9031
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R882358
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License Number State | MS
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