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General NPI Number Information
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NPI Number | 1508097130
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Entity Type | Individual
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Provider Name | COURTNEY STEWART MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 2006 TOWN PLAZA CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6216
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Country | US
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Telephone | 407-252-3087
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Fax | 407-695-0069
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Provider Business Mailing Address
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Address Line | 2006 TOWN PLAZA CT
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6216
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Country | US
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Telephone | 407-252-3087
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Fax | 407-695-0069
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH10935
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License Number State | FL
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