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General NPI Number Information
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NPI Number | 1780553792
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Entity Type | Individual
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Provider Name | SETH STEWART
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Gender | Male
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5142 RTE 30
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City | GREENSBURG
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State | PA
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Zip | 15601-7657
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Country | US
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Telephone | 724-382-7951
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Fax |
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Provider Business Mailing Address
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Address Line | 47 N SPRING AVE
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City | GREENSBURG
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State | PA
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Zip | 15601-2232
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE013897
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License Number State | PA
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