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General NPI Number Information
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NPI Number | 1538579990
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Entity Type | Individual
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Provider Name | MARY B STEWART MFT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 39755 MURRIETA HOT SPRINGS RD
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City | MURRIETA
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State | CA
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Zip | 92563-9151
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Country | US
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Telephone | 951-698-5317
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Fax | 951-698-5317
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Provider Business Mailing Address
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Address Line | 38298 CALLE CERVATO
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City | MURRIETA
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State | CA
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Zip | 92563-5662
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Country | US
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Telephone | 951-698-5317
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Fax | 951-698-5317
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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 | 14329
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License Number State | CA
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