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General NPI Number Information
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NPI Number | 1699928127
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Entity Type | Organization
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Legal Business Name | STEWART C GARNEAU MD SC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 4362 7TH ST
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City | MOLINE
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State | IL
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Zip | 61265-6867
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Country | US
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Telephone | 309-277-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 4362 7TH ST
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City | MOLINE
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State | IL
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Zip | 61265-6867
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Country | US
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Telephone | 309-277-2900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEWART GARNEAU
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Credential |
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Telephone | 309-277-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036055117
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License Number State | IL
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