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General NPI Number Information
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NPI Number | 1699440594
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Entity Type | Individual
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Provider Name | ERICA ANNE STEWART OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 1700 N MCMULLEN BOOTH RD STE D4
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City | CLEARWATER
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State | FL
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Zip | 33759-2129
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Country | US
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Telephone | 727-967-3025
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Fax |
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Provider Business Mailing Address
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Address Line | 2777 ENTERPRISE RD E APT 52
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City | CLEARWATER
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State | FL
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Zip | 33759-1138
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Country | US
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Telephone | 561-252-9430
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT22154
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License Number State | FL
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