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NPI 1770532004

NPI 1770532004 : SHERRY L. STEWART APRN : BECKLEY, WV

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General NPI Number Information
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    NPI Number           |    1770532004
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    Entity Type          |    Individual 
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    Provider Name        |    SHERRY L. STEWART APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2006
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    Last Update Date     |    01/05/2022
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Provider Practice Location Address
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    Address Line         |    275 DRY HILL ROAD 
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    City                 |    BECKLEY
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    State                |    WV
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    Zip                  |    25801
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    Country              |    US
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    Telephone            |    304-253-6060
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    Fax                  |    304-929-2248
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Provider Business Mailing Address
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    Address Line         |    20 DUKE MEDICINE CIR 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27710-2000
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    Country              |    US
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    Telephone            |    304-253-6060
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    Fax                  |    304-929-2248
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5011470
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    58078
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    License Number State |    WV
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