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General NPI Number Information
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NPI Number | 1801556428
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Entity Type | Individual
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Provider Name | JENNIFER R STEWARTZ OTR/L, MS
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Gender | Female
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1747 BAPTIST CLAY DR STE 210
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-8505
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Country | US
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Telephone | 904-621-0396
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Fax | 904-621-0397
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Provider Business Mailing Address
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Address Line | 2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
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City | FORT LIBERTY
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State | NC
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Zip | 28310-7345
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Country | US
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Telephone | 910-907-8922
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Fax | 910-907-6069
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT22470
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License Number State | FL
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