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General NPI Number Information
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NPI Number | 1598963282
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Entity Type | Organization
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Legal Business Name | CYNTHIA ROGERS STUART DO PA
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 4323 N JOSEY LN PLAZA 1 STE 300
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City | CARROLLTON
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State | TX
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Zip | 75010-4633
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Country | US
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Telephone | 972-492-8272
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Fax | 972-492-8275
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Provider Business Mailing Address
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Address Line | 4323 N JOSEY LN PLAZA 1 STE 300
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City | CARROLLTON
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State | TX
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Zip | 75010-4633
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Country | US
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Telephone | 972-492-8272
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Fax | 972-492-8275
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA ROGERS STUART
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Credential | DO
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Telephone | 972-492-8272
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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 | M0581
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License Number State | TX
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