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General NPI Number Information
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NPI Number | 1558110239
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Entity Type | Individual
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Provider Name | JESSIE LEIGH STEWART DC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2024
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 121 W DUNBAR CAVE RD
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City | CLARKSVILLE
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State | TN
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Zip | 37040-6037
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Country | US
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Telephone | 931-542-9420
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Fax | 931-542-9422
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Provider Business Mailing Address
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Address Line | 8000 S LAMAR RD
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City | SMYRNA
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State | TN
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Zip | 37167-5373
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Country | US
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Telephone | 518-321-9521
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIRO11247
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3838
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License Number State | TN
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