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General NPI Number Information
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NPI Number | 1508870684
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Entity Type | Individual
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Provider Name | EDGAR ALAN STEWART D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 440 S MAIN ST
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City | RICHFIELD
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State | UT
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Zip | 84701-2855
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Country | US
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Telephone | 435-893-6806
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Fax | 435-201-5720
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Provider Business Mailing Address
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Address Line | 440 N PAIUTE DR
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City | CEDAR CITY
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State | UT
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Zip | 84721-6181
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Country | US
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Telephone | 435-867-2650
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Fax | 435-867-2658
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 670
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 143758-9926
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License Number State | UT
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