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General NPI Number Information
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NPI Number | 1508528811
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Entity Type | Individual
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Provider Name | CHARITY MARIE STEWART CDCA
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 5577 AIRPORT HWY STE 200
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City | TOLEDO
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State | OH
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Zip | 43615-7364
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Country | US
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Telephone | 419-720-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 MARLOW RD
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City | TOLEDO
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State | OH
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Zip | 43613-5133
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Country | US
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Telephone | 419-720-0442
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.193080
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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