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General NPI Number Information
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NPI Number | 1720356710
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Entity Type | Individual
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Provider Name | KIMBERLY H STEWART M.A. SLP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 1850 LEE RD STE 134
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City | WINTER PARK
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State | FL
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Zip | 32789-2104
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Country | US
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Telephone | 407-761-0561
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Fax | 407-622-4439
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Provider Business Mailing Address
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Address Line | 16019 CORNER LAKE DR
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City | ORLANDO
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State | FL
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Zip | 32820-1934
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Country | US
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Telephone | 407-230-8895
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 12140
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License Number State | FL
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