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General NPI Number Information
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NPI Number | 1700158615
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Entity Type | Individual
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Provider Name | DAVID K STEWART MFT
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Gender | Male
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 7223 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-3812
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Country | US
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Telephone | 866-415-7049
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Fax |
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Provider Business Mailing Address
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Address Line | 12523 LIMONITE AVE STE 440-210
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City | MIRA LOMA
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State | CA
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Zip | 91752-3665
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Country | US
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Telephone | 866-415-7049
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC49390
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License Number State | CA
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