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General NPI Number Information
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NPI Number | 1821418013
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Entity Type | Individual
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Provider Name | SCOTT MATTHEW STEWART NP
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Gender | Male
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Dates
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Enumeration Date | 04/26/2014
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 201 LYONS AVE HEART TRANSPLANT L4
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City | NEWARK
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State | NJ
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Zip | 07112-2027
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Country | US
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Telephone | 973-926-7205
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PROSPECT AVE HEART TRANSPLANT L-4
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City | HACKENSACK
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State | NJ
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Zip | 07601-1915
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Country | US
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Telephone | 551-996-2937
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Fax | 551-996-5697
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00494200
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License Number State | NJ
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