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General NPI Number Information
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NPI Number | 1558374843
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Entity Type | Organization
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Legal Business Name | CAROL A STEWART MD P.A
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 3927 ROSEWOOD WAY
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City | ORLANDO
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State | FL
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Zip | 32808
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Country | US
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Telephone | 407-445-7503
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Fax | 407-445-7552
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Provider Business Mailing Address
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Address Line | 3927 ROSEWOOD WAY
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City | ORLANDO
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State | FL
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Zip | 32808
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Country | US
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Telephone | 407-445-7503
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Fax | 407-445-7552
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROL ANDREA STEWART
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Credential | MEDICAL DOCTOR
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Telephone | 407-445-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME88668
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License Number State | FL
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