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General NPI Number Information
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NPI Number | 1578375390
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Entity Type | Organization
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Legal Business Name | SURGICAL ARTISTRY
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 836 UNIVERSITY DR
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City | LAKE CHARLES
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State | LA
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Zip | 70605
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Country | US
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Telephone | 337-990-8591
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Fax | 337-990-8576
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Provider Business Mailing Address
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Address Line | 814 SAINT ANTHONY ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-5753
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Country | US
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Telephone | 347-858-8221
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NORMAN CHARLES STEWART
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Credential | MD
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Telephone | 337-990-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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