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General NPI Number Information
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NPI Number | 1780885335
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Entity Type | Organization
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Legal Business Name | TODD C STEWART DDS PA
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 118 HICKORY HILLS DR
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City | HELENA
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State | AR
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Zip | 72342-2302
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Country | US
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Telephone | 870-338-3961
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Fax | 870-338-3950
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Provider Business Mailing Address
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Address Line | 118 HICKORY HILLS DR
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City | HELENA
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State | AR
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Zip | 72342-2302
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Country | US
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Telephone | 870-338-3961
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Fax | 870-338-3950
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Authorized Official
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Title or Position | OWNER
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Name | DR. TODD CHRISTOPHER STEWART
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Credential | DDS PA
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Telephone | 870-338-3961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3101
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License Number State | AR
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