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General NPI Number Information
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NPI Number | 1841663853
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Entity Type | Individual
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Provider Name | MARIE STEWART DPT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 6015 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5525
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Country | US
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Telephone | 941-792-1404
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Fax |
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Provider Business Mailing Address
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Address Line | 4480 DEERWOOD LAKE PKWY UNIT 542
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2271
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Country | US
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Telephone | 904-923-8333
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT35389
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0013246
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT5223
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License Number State | ME
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