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NPI 1679440523

NPI 1679440523 : EMMA STEWART ANP : ALBANY, NY

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General NPI Number Information
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    NPI Number           |    1679440523
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA STEWART ANP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    319 S MANNING BLVD STE 301 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12208-1743
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    Country              |    US
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    Telephone            |    518-458-1390
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    Fax                  |    518-694-8872
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Provider Business Mailing Address
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    Address Line         |    PO BOX 14890 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12212-4890
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    312630
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    License Number State |    NY
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