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General NPI Number Information
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NPI Number | 1851374383
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Entity Type | Individual
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Provider Name | JOHN H STEWART IV MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 80 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3031
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Country | US
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Telephone | 404-752-1000
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Fax | 404-752-1000
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Provider Business Mailing Address
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Address Line | 840 S WOOD ST MC 958
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone |
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 036147175
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036-147175
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 200401335
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License Number State | NC
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