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General NPI Number Information
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NPI Number | 1770105363
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Entity Type | Individual
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Provider Name | REGINA STEWART
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Gender | Female
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 11 CARMEN LN
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City | FLEMINGTON
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State | NJ
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Zip | 08822-3415
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Country | US
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Telephone | 908-866-6069
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Fax | 908-751-5488
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Provider Business Mailing Address
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Address Line | 495 N BRIDGE ST UNIT 6746
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-7530
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Country | US
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Telephone | 908-866-6069
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Fax | 908-751-5488
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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