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General NPI Number Information
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NPI Number | 1538353453
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Entity Type | Organization
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Legal Business Name | DR RICHARD S STEWART & ASSOCIATES PC
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 10006 W HAPPY VALLEY RD SUITE 1250
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City | PEORIA
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State | AZ
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Zip | 85383-1235
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Country | US
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Telephone | 623-566-3937
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Fax | 623-566-1840
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Provider Business Mailing Address
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Address Line | 10006 W HAPPY VALLEY RD SUITE 1250
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City | PEORIA
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State | AZ
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Zip | 85383-1235
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Country | US
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Telephone | 623-566-3937
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Fax | 623-566-1840
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD S STEWART
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Credential | OD
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Telephone | 623-566-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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