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General NPI Number Information
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NPI Number | 1588706113
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Entity Type | Organization
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Legal Business Name | STEWART AND LABBE ORTHODONTICS
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2630 BRANDERMILL BLVD
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City | GAMBRILLS
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State | MD
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Zip | 21054-1651
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Country | US
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Telephone | 410-451-7202
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Fax | 410-451-9686
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Provider Business Mailing Address
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Address Line | 2630 BRANDERMILL BLVD
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City | GAMBRILLS
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State | MD
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Zip | 21054-1651
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Country | US
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Telephone | 410-451-7202
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Fax | 410-451-9686
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. LAMON STEWART
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Credential |
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Telephone | 410-451-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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