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General NPI Number Information
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NPI Number | 1801038609
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Entity Type | Individual
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Provider Name | ZINA BETH STEWART LMT
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Gender | Female
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 3534 TEAYS VALLEY RD SUITE 3
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City | HURRICANE
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State | WV
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Zip | 25526-9054
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Country | US
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Telephone | 304-397-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 113 ROSEHILL ACRES
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City | SCOTT DEPOT
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State | WV
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Zip | 25560-9421
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Country | US
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Telephone | 304-590-0681
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1015-4952
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License Number State | WV
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