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General NPI Number Information
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NPI Number | 1619977188
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Entity Type | Individual
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Provider Name | DAVID G STEWART MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 7460 WOLF RIVER BOULEVARD
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City | GERMANTOWN
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State | TN
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Zip | 38138
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Country | US
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Telephone | 901-763-0200
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Fax | 901-761-4002
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Provider Business Mailing Address
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Address Line | 1211 UNION AVE STE 330
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City | MEMPHIS
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State | TN
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Zip | 38104-6655
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Country | US
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Telephone |
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 12592
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 20386
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 20386
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 12592
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License Number State | MS
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