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General NPI Number Information
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NPI Number | 1629078472
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Entity Type | Individual
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Provider Name | ROBERT E STEWARD JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 08/01/2010
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Provider Practice Location Address
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Address Line | 1049 N FRONT ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-8258
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Country | US
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Telephone | 814-342-9186
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Fax | 814-342-6684
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Provider Business Mailing Address
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Address Line | 809 TURNPIKE AVE
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City | CLEARFIELD
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State | PA
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Zip | 16830-1232
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Country | US
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Telephone | 814-768-2356
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Fax | 814-768-2134
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD014352E
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License Number State | PA
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