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General NPI Number Information
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NPI Number | 1487794616
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Entity Type | Organization
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Legal Business Name | LESLIE A STEWART MD PC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE SUITE 404
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2803
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Country | US
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Telephone | 303-761-0906
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Fax | 303-761-0907
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Provider Business Mailing Address
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Address Line | 8200 E BELLEVIEW AVE STE 404C
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2807
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Country | US
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Telephone | 303-761-0906
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Fax | 303-761-0907
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE STEWART
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Credential | MD
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Telephone | 303-756-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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