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General NPI Number Information
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NPI Number | 1649371972
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Entity Type | Individual
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Provider Name | JEFFREY DAVID STEWART M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 03/25/2020
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Provider Practice Location Address
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Address Line | 8423 MARKET ST STE 207
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City | BOARDMAN
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State | OH
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Zip | 44512-6778
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Country | US
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Telephone | 330-729-7901
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Fax | 330-729-7915
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Provider Business Mailing Address
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Address Line | 8423 MARKET ST STE 207
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City | BOARDMAN
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State | OH
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Zip | 44512-6778
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Country | US
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Telephone | 330-729-7901
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Fax | 330-729-7915
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 17135
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 60316121
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | D0073846
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 213-320
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD21154
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License Number State | ME
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Taxonomy #6
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 35.138963
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License Number State | OH
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