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General NPI Number Information
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NPI Number | 1629880067
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Entity Type | Individual
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Provider Name | SCOTT STEWART FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1400 ROCKLEDGE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-2846
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Country | US
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Telephone | 321-735-8960
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 PAISLEY ST NW
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City | PALM BAY
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State | FL
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Zip | 32907-8029
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Country | US
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Telephone | 304-972-6817
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F01250701
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License Number State | FL
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